Individual
DAVID MARTIN OBANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANMT, LMT
Contact information
Practice address
230 SW 3RD ST, SUITE 212, CORVALLIS, OR 97333-4692
(541) 286-5268
Mailing address
PO BOX 83476, PORTLAND, OR 97283-0476
(541) 286-5268
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19202
OR
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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