Individual
LORIN LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222-6001
(503) 659-0073
Mailing address
3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222-6001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11131
OR
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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