Individual
MICHAEL DEAN GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
456 SW WASHINGTON AVE, CORVALLIS, OR 97333-4405
(541) 513-9141
Mailing address
456 SW WASHINGTON AVE, CORVALLIS, OR 97333-4405
(541) 513-9141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19323
OR
Other
Enumeration date
04/03/2013
Last updated
10/16/2022
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