Provider Demographics
NPI:1538419866
Name:HARTUNG, DANNA LYNN (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:DANNA
Middle Name:LYNN
Last Name:HARTUNG
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:DANNA
Other - Middle Name:LYNN
Other - Last Name:LAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MASSAGE THERAPIST
Mailing Address - Street 1:29292 SW TOWN CENTER LOOP E STE B
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-9491
Mailing Address - Country:US
Mailing Address - Phone:503-582-9200
Mailing Address - Fax:503-582-1487
Practice Address - Street 1:29292 SW TOWN CENTER LOOP E STE B
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-9491
Practice Address - Country:US
Practice Address - Phone:503-582-9200
Practice Address - Fax:503-582-1487
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR18300225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist