Individual
MRS. MOLLY A NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6217 SE HAROLD ST, PORTLAND, OR 97206
(720) 237-4575
Mailing address
6217 SE HAROLD ST, PORTLAND, OR 97206-5432
(720) 237-4575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10664
CO
Other
Enumeration date
06/15/2012
Last updated
01/14/2019
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