Provider Demographics
NPI:1144977562
Name:TUREK, CADEN BRENT (LMT)
Entity type:Individual
Prefix:MR
First Name:CADEN
Middle Name:BRENT
Last Name:TUREK
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4620 SW PALATINE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-7230
Mailing Address - Country:US
Mailing Address - Phone:308-730-0051
Mailing Address - Fax:
Practice Address - Street 1:156 CHEMAWA RD N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-5356
Practice Address - Country:US
Practice Address - Phone:503-999-5960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-05
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLMT-25547225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist