Provider Demographics
NPI:1992294680
Name:TASCHE, MARIEL LOUISE (LMT, EP-C)
Entity type:Individual
Prefix:
First Name:MARIEL
Middle Name:LOUISE
Last Name:TASCHE
Suffix:
Gender:F
Credentials:LMT, EP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1547
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-0547
Mailing Address - Country:US
Mailing Address - Phone:425-876-4061
Mailing Address - Fax:
Practice Address - Street 1:116 3RD ST STE 202
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2193
Practice Address - Country:US
Practice Address - Phone:503-200-9754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24109225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist