Individual
DUSTIE NICOLE CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2155 NW 173RD AVE, STE. 103, BEAVERTON, OR 97006-3563
(503) 352-0735
(503) 352-0734
Mailing address
2155 NW 173RD AVE, STE. 103, BEAVERTON, OR 97006-3563
(503) 352-0735
(503) 352-0734
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11054
OR
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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