Individual
MR. MATTHEW DUANE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
0455 SW HAMILTON CT, PORTLAND, OR 97239-4200
(503) 802-5910
Mailing address
0455 SW HAMILTON CT, PORTLAND, OR 97239-4200
(503) 802-5910
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13763
OR
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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