Individual
AMANDA LEE GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
555 SW OAK ST, PORTLAND, OR 97204-1752
(503) 799-3411
Mailing address
57812 N MORSE RD, WARREN, OR 97053-9319
(503) 799-3411
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11356
OR
Other
Enumeration date
08/26/2008
Last updated
07/27/2009
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