Provider Demographics
NPI:1003639535
Name:LUMLEY, APRIL K (LMT)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:K
Last Name:LUMLEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:K
Other - Last Name:GOODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2428 NE DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-6020
Mailing Address - Country:US
Mailing Address - Phone:503-660-9529
Mailing Address - Fax:360-443-7570
Practice Address - Street 1:2428 NE DIVISION ST
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-6020
Practice Address - Country:US
Practice Address - Phone:503-660-9529
Practice Address - Fax:360-443-7570
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR26540225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty