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MR. CHARLES WILLIAM STREET MASSAGE THERAPIST
NPI 1346464419
Specialist in Beaverton, OR

Active since April 12, 2007
1060 SW 170TH AVE UNIT 200, BEAVERTON, OR 97006(541) 778-0705(541) 608-3911 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Charles William Street Massage Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES WILLIAM STREET MASSAGE THERAPIST (NPI 1346464419) is an individual specialist in Beaverton, Oregon, licensed in Oregon (1002) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1346464419
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. CHARLES WILLIAM STREETCredential: MASSAGE THERAPIST
Location Address1060 SW 170TH AVE UNIT 200Beaverton, OR 97006-8089
Mailing Address1060 Sw 170th Ave Unit 200Beaverton, OR 97006-8089 · (541) 778-0705 · Fax (541) 608-3911
Phone(541) 778-0705
Fax(541) 608-3911
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346464419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 1002
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1060 SW 170TH AVE UNIT 200, Beaverton, OR 97006
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Frequently Asked Questions

What is Charles Street's NPI number?

The NPI number assigned to this healthcare provider is 1346464419, enumerated as an "individual" on April 12, 2007.

Where is the provider located?

The provider is located at 1060 SW 170TH AVE UNIT 200 BEAVERTON, OR 97006 and the phone number is (541) 778-0705.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.