IndividualActive
Beth Mantis, LMT
NPI 1992056857 · Rehabilitation Practitioner · Eagle Creek, OR
Provider details
- NPI number
- 1992056857
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18018 (OR)
Practice location
29544 Se Heiple Rd
Eagle Creek, OR 97022-9664
Phone: (503) 887-6070
Fax: (503) 630-2860
Mailing address
29544 Se Heiple Rd
Eagle Creek, OR 97022-9664
Registry dates
- Enumerated
- 2012-10-01
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.