Provider Demographics
NPI:1932880119
Name:ALICE PALMERI, LMT LLC
Entity Type:Organization
Organization Name:ALICE PALMERI, LMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMERI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-515-7377
Mailing Address - Street 1:5126 SW MARIGOLD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5031
Mailing Address - Country:US
Mailing Address - Phone:503-515-7377
Mailing Address - Fax:
Practice Address - Street 1:1340 SW BERTHA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-2172
Practice Address - Country:US
Practice Address - Phone:503-244-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty