Individual
BONNIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 PACIFIC BLVD SE, ALBANY, OR 97321-4824
(541) 704-0633
Mailing address
431 STORMY ST NE, ALBANY, OR 97322-4556
(541) 619-7879
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
18719
OR
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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