Individual
JOHN HER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1169 SW KILEY WAY APT 13, BEAVERTON, OR 97006-5091
(503) 863-8771
Mailing address
1169 SW KILEY WAY APT 13, BEAVERTON, OR 97006-5091
(503) 863-8771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19789
OR
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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