Individual
HEIDI KENANI MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1033 SW YAMHILL ST, STE. 100, PORTLAND, OR 97205-2545
(503) 477-3973
Mailing address
1033 SW YAMHILL ST, STE. 100, PORTLAND, OR 97205-2545
(503) 477-3973
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13503
OR
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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