Most Relevant Information
Provider Data
| NPI Number: | 1003024654 |
| Provider Name: | HEIDI STACHELRODT LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 10997 |
Most Important Dates
| Enumeration Date: | 05/18/2007 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
205 SE SPOKANE ST STE 300
PORTLAND
OR
972026487
Practice Location Phone/Fax
| Phone: | 5038669271 |
| Fax: | 9713861281 |
Provider Mailing Location
205 SE SPOKANE ST STE 300
PORTLAND
OR
972026487
Provider Mailing Phone/Fax
| Phone: | 5038669271 |
| Fax: | 9713861281 |