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Individual
TERESA J HUBBELL
Active
Individual
TERESA J HUBBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10963
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10963
OREGON BOARD OF MASSAGE THERAPY
OR
Enumeration date
08/31/2018
Last updated
07/30/2021
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