Individual
LORETTA N. CLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
15405 SW 116TH AVE, SUITE 101, KING CITY, OR 97224-2600
(503) 624-9680
Mailing address
15405 SW 116TH AVE, SUITE 101, KING CITY, OR 97224-2600
(503) 624-9680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2578
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2578
OBMT
OR
01
—
445566-00
NCBTMB
OR
Enumeration date
03/04/2008
Last updated
03/05/2008
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