Individual
MOLLY MATTECHECK SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6030 SE DIVISION ST, PORTLAND, OR 97206-1346
(503) 772-1215
Mailing address
4004 SE BOISE ST, PORTLAND, OR 97202-3128
(503) 720-1571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17366
OR
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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