Individual
BRIAN SCOTT RICKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14619 SW TEAL BLVD, BEAVERTON, OR 97007-6194
(503) 746-6585
Mailing address
15455 SW KIRBY LN, BEAVERTON, OR 97007-2632
(775) 835-3372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20051
OR
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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