Individual
EMILY IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
235 SE DAVIS AVE, BEND, OR 97702-1333
(541) 241-4821
Mailing address
PO BOX 8682, BEND, OR 97708-8682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26250
OR
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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