Individual
DEVON DETWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
502 4TH AVE, OREGON CITY, OR 97045-3100
(503) 737-9059
Mailing address
502 4TH AVE, OREGON CITY, OR 97045-3100
(503) 737-9059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26934
OR
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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