Individual
MS. AMY L. TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, LMT
Contact information
Practice address
1918 NW JOHNSON ST, PORTLAND, OR 97209-1308
(360) 448-3083
(360) 859-1715
Mailing address
1111 GRAND BLVD, VANCOUVER, WA 98661-4827
(360) 258-0478
(360) 859-1715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14108
OR
225700000X
Massage Therapist
MA00019248
WA
Other
Enumeration date
07/20/2007
Last updated
06/03/2009
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