Individual
IRENE JULIA DOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1300 NW ADAMS ST STE C, MCMINNVILLE, OR 97128-3550
(503) 883-0099
Mailing address
1300 NW ADAMS ST STE C, MCMINNVILLE, OR 97128-3550
(503) 883-0099
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25324
OR
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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