Individual
AMANDA ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
635 NW 5TH ST STE 2, REDMOND, OR 97756-1503
(541) 306-7784
Mailing address
635 NW 5TH ST STE 2, REDMOND, OR 97756-1503
(541) 306-7784
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18992
OR
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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