Individual
ASHLEY FAYE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7150 SW HAMPTON ST STE 115, TIGARD, OR 97223-8365
(503) 438-5636
Mailing address
1490 PATTON RD, LAKE OSWEGO, OR 97034-6046
(503) 438-5636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25390
OR
Other
Enumeration date
01/25/2022
Last updated
04/29/2024
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