Individual
MS. MARA MOMSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ASHLAND LOOP, ASHLAND, OR 97520-3167
(541) 663-6896
Mailing address
500 ASHLAND LOOP, ASHLAND, OR 97520-3167
(541) 663-6896
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20828
OR
Other
Enumeration date
03/18/2015
Last updated
09/27/2023
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