Individual
CLIFFORD SERETAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8555 SW TUALATIN RD, TUALATIN, OR 97062-8614
(503) 691-0901
Mailing address
18903 TERRY AVE, LAKE OSWEGO, OR 97035-7956
(503) 598-2838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20017
OR
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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