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Individual

DEBBIE SUE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2501 PORTLAND RD, NEWBERG, OR 97132-1965
(503) 267-8273
Mailing address
875 SW VIEW CREST DR, DUNDEE, OR 97115-8505
(503) 267-8273

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18739
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18739
LICENSED MASSAGE THERAPIST
OR
Enumeration date
08/03/2012
Last updated
08/03/2012
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