Provider Demographics
NPI:1487099982
Name:NG, ROCHELLE YUI-HUA (LMT)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:YUI-HUA
Last Name:NG
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 SW 185TH AVE
Mailing Address - Street 2:# 4
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-6656
Mailing Address - Country:US
Mailing Address - Phone:971-404-9165
Mailing Address - Fax:
Practice Address - Street 1:943 SW 185TH AVE
Practice Address - Street 2:# 4
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-6656
Practice Address - Country:US
Practice Address - Phone:971-404-9165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12397225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist