Individual
MISS MARI ANN MAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
14605 SE 202ND AVE, DAMASCUS, OR 97089-7718
(503) 658-2225
Mailing address
8366 SE CAUSEY AVE APT 248, HAPPY VALLEY, OR 97086-7654
(503) 880-8216
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15614
OR
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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