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Individual

MR. DAVID MICHAEL THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1330 SE 39TH AVE, PORTLAND, OR 97214-4322
(503) 232-1200
Mailing address
1707 SE 33RD AVE, PORTLAND, OR 97214-5024
(503) 929-7599

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12740
OR

Other

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