Individual
MICHELLE POIROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
64994 CLINE FALLS RD, BEND, OR 97701-8147
(503) 481-0595
Mailing address
64994 CLINE FALLS RD, BEND, OR 97701-8147
(503) 481-0595
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10326
OR
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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