Individual
AURORA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E BERKELEY ST, GLADSTONE, OR 97027-2510
(503) 789-9775
Mailing address
515 E BERKELEY ST, GLADSTONE, OR 97027-2510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10454
OR
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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