Individual
MISS ANDREA BETH SHUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
5505 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6828
(541) 788-3313
Mailing address
5505 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6828
(541) 788-3313
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
9632 MASSAGE THERAPY
OR
174400000X
Specialist
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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