Individual
BAILEY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15 SW 12TH AVE, BATTLE GROUND, WA 98604-4371
(360) 666-7722
Mailing address
15 SW 12TH AVE, BATTLE GROUND, WA 98604-4371
(360) 666-7722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60315347
WA
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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