Individual
PATRICIA LYNN LOUISIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
220 5TH AVE SW, ALBANY, OR 97321-2345
(541) 926-0510
Mailing address
1403 COLLEGE ST, PHILOMATH, OR 97370-9290
(541) 961-1466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18548
OR
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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