Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles William Street, MASSAGETHERAPIST

Individual provider Specialist · NPI 1346464419

Mr. Charles William Street, MASSAGETHERAPIST is a Specialist in Beaverton, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
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Practice location Address checks out

1060 SW 170th Ave Unit 200
Beaverton, OR 97006-8089
Phone: (541) 778-0705
Fax: (541) 608-3911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1002 (OR)

Record details

NPI number1346464419
Entity typeIndividual (Type 1)
GenderMale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007

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