Individual
ANNA RACHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
406 SE 131ST AVE, 108, VANCOUVER, WA 98683-4004
(360) 944-0050
Mailing address
6317 NE 47TH PL, PORTLAND, OR 97218-1844
(503) 516-9645
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
22821
OR
225700000X
Massage Therapist
Primary
MA60704358
WA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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