Individual
GRETCHEN M IHMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2149 NE BROADWAY ST, PORTLAND, OR 97232-1580
(503) 281-0278
Mailing address
1550 NW NAITO PKWY APT 612, PORTLAND, OR 97209-4181
(913) 575-5494
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28075
OR
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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