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Individual

MS. IRMA BERNADETTE MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
231 N MAIN STREET, GRESHAM, OR 97030
(503) 665-0853
Mailing address
11124 NE HALSEY, 437, PORTLAND, OR 97220
(503) 709-0593
(503) 252-1214

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11327
OR

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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