Individual
LAURA P GERMAN-MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1820 SW VERMONT ST STE F, PORTLAND, OR 97219-1945
(503) 201-8333
Mailing address
1820 SW VERMONT ST STE F, PORTLAND, OR 97219-1945
(503) 201-8333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13429
OR
Other
Enumeration date
03/28/2007
Last updated
02/03/2017
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