Provider Demographics
NPI:1871823716
Name:SKIENS, ASPEN N (LMT)
Entity Type:Individual
Prefix:MR
First Name:ASPEN
Middle Name:N
Last Name:SKIENS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2382 COLUMBIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-1638
Mailing Address - Country:US
Mailing Address - Phone:503-369-9382
Mailing Address - Fax:
Practice Address - Street 1:289 S 1ST ST
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-2003
Practice Address - Country:US
Practice Address - Phone:503-369-9382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-27
Last Update Date:2009-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13248225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist