Individual
MS. GINA M STRODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
12525 SW 3RD ST, BEAVERTON, OR 97005-0517
(503) 526-3450
Mailing address
12525 SW 3RD ST, BEAVERTON, OR 97005-0517
(503) 526-3450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11147
OR
Other
Enumeration date
08/26/2009
Last updated
08/31/2009
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