Individual
MS. MAGGIE DOOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6608 SW FLORENCE LANE, PORTLAND, OR 97223
(503) 245-0275
Mailing address
6608 SW FLORENCE LANE, PORTLAND, OR 97223
(503) 245-0275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3237
OR
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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