Individual
MEREDITH ANNE OBENCHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, DIPL. ABT
Contact information
Practice address
8283 SW BARBUR BLVD, PORTLAND, OR 97219-2871
(503) 244-1330
Mailing address
10956 SE AZAR DR, HAPPY VALLEY, OR 97086-7804
(208) 724-0343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15668
OR
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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