Individual
BRENDA LEE STEBBEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12755 SW 69TH AVE, SUITE 202, TIGARD, OR 97223-8373
(503) 670-1196
Mailing address
12755 SW 69TH AVE, SUITE 202, TIGARD, OR 97223-8373
(503) 670-1196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14061
OR
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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