Individual
COURTNEY V EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19365 SW 65TH AVE STE 104, TUALATIN, OR 97062-9196
(503) 486-5199
(503) 586-9190
Mailing address
19365 SW 65TH AVE STE 104, TUALATIN, OR 97062-9196
(503) 486-5199
(503) 486-5190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17628
OR
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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