Individual
DREW RHYS HAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8122 SE TIBBETTS ST, PORTLAND, OR 97206-1768
(704) 608-7777
Mailing address
12843 SE FOSTER RD, PORTLAND, OR 97236-4588
(704) 608-7777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23568
OR
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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