Individual
BARBARA SUSAN DIERINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13136 SW RAPTOR PL, TIGARD, OR 97223-2872
(503) 939-5800
Mailing address
13136 SW RAPTOR PL, TIGARD, OR 97223-2872
(503) 939-5800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
6098
OR
Other
Enumeration date
02/19/2011
Last updated
02/19/2011
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