Individual
MADISON HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4160 NE SANDY BLVD STE 1100, PORTLAND, OR 97212-5336
(971) 379-2455
Mailing address
6710 N WILBUR AVE, PORTLAND, OR 97217-5227
(650) 339-3053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27065
OR
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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