Individual
MS. MICHELE MARIE WREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5308 SE RHONE ST, PORTLAND, OR 97206-2962
(503) 775-6885
Mailing address
930 CUMBERLAND RD, LAKE OSWEGO, OR 97034-1730
(503) 730-2869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7937
OR
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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