Individual
AMIE RAUTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8315 N DENVER AVE, PORTLAND, OR 97217-6707
(503) 998-4779
Mailing address
928 N PRESCOTT ST, PORTLAND, OR 97217-3162
(503) 998-4779
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17152
OR
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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