Individual
HANNAH ELISABETH WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
901 BRUTSCHER ST STE 208, NEWBERG, OR 97132-6097
(503) 538-0100
Mailing address
1464 GEORGE TWEED BLVD, GRANTS PASS, OR 97527-6394
(541) 441-3264
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023534
OR
Other
Enumeration date
09/12/2017
Last updated
03/17/2018
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