Individual
NAOMIE FAYE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
392 FIR AVE STE 107, REEDSPORT, OR 97467-4400
(541) 590-2735
Mailing address
1000 N 8TH ST SPC 21, REEDSPORT, OR 97467-1460
(503) 928-0811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023595
OR
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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