Individual
MRS. ANGELA JEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18039 SW LOWER BOONES FERRY RD, TIGARD, OR 97224-7228
(503) 481-4945
Mailing address
9025 SW OAK ST, TIGARD, OR 97223-6547
(503) 481-4945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11689
OR
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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