Individual
MR. GORDON CHRIS TINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
574 VALLEY RD, BREWSTER, WA 98812-9515
(707) 867-2094
Mailing address
PO BOX 203, MONROE, WA 98272-0203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25813
OR
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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