Individual
COLLEEN MCCLENAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7409 SW CAPITOL HWY STE 206, PORTLAND, OR 97219-2432
(503) 816-4179
Mailing address
7409 SW CAPITOL HWY STE 206, PORTLAND, OR 97219-2432
(503) 816-4179
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7338
OR
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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