Individual
LAURA RAE COPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8937 N WESTANNA AVE, #26, PORTLAND, OR 97203-2668
(503) 459-3448
(503) 735-0471
Mailing address
8937 N WESTANNA AVE, #26, PORTLAND, OR 97203-2668
(503) 459-3448
(503) 735-0471
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60202682
WA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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