Individual
MR. ERIC HOAN VAULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18676 SW BOONES FERRY RD, TUALATIN, OR 97062-8435
(971) 404-1736
Mailing address
16255 SW AUDUBON ST UNIT 201, BEAVERTON, OR 97003-7798
(503) 803-5814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25134
OR
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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