Individual
ATHENA WRENNETTE ROLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11943 SE 362ND AVE, BORING, OR 97009-8720
(971) 409-0949
(503) 663-0664
Mailing address
11943 SE 362ND AVE, BORING, OR 97009-8720
(971) 409-0949
(503) 663-0664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18063
OR
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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