Individual
MRS. BONNIE LYN WHISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
404 BLUE JAY AVE, FOREST GROVE, OR 97116-2197
(928) 890-7700
Mailing address
404 BLUE JAY AVE, FOREST GROVE, OR 97116-2197
(928) 890-7700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26546
OR
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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