Individual
CAHTI-JO MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14619 SW TEAL BLVD, BEAVERTON, OR 97007-6194
(503) 746-6585
(503) 746-6583
Mailing address
10480 SW EASTRIDGE ST, #18, PORTLAND, OR 97225-5018
(503) 490-2790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18103
OR
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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