Individual
JULIANNA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
999 SW VIEW CREST DR, DUNDEE, OR 97115-9564
(503) 575-5894
Mailing address
999 SW VIEW CREST DR, DUNDEE, OR 97115-9564
(503) 575-5894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22020
OR
Other
Enumeration date
04/09/2016
Last updated
04/09/2016
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