Individual
LAURIE SIMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BROADWAY ST STE 9, SEASIDE, OR 97138-6845
(503) 717-3645
Mailing address
PO BOX 736, CANNON BEACH, OR 97110-0736
(970) 389-5427
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17540
OR
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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