Individual
MISS AMY RUTH GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9999 SW WILSHIRE ST, SUITE 232, PORTLAND, OR 97225
(503) 569-4279
Mailing address
PO BOX 775, CASCADE LOCKS, OR 97014
(503) 569-4279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14517
OR
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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