Individual
IAN LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4200 MERCANTILE DR STE 750, LAKE OSWEGO, OR 97035-2595
(503) 305-7762
Mailing address
11640 SW BOONES FERRY RD, PORTLAND, OR 97219-7736
(719) 231-8281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21784
OR
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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