Individual
CODI JOY LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18879 SW TV HWY, ALOHA, OR 97006-2833
(503) 649-5100
Mailing address
2378 NW SCHMIDT WAY APT 143, BEAVERTON, OR 97006-4789
(503) 943-9596
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13083
OR
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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