Individual
JOANNA HUTCHINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12353 SW WALNUT ST, TIGARD, OR 97223-3039
(808) 499-5058
Mailing address
12353 SW WALNUT ST, TIGARD, OR 97223-3039
(808) 499-5058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22408
OR
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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