Individual
MR. DUSTIN RICHARD BODEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LMT
Contact information
Practice address
606 120TH AVE NE STE D104, BELLEVUE, WA 98005-3024
(425) 455-5444
(425) 646-8047
Mailing address
1836 NE 7TH AVE #206, PORTLAND, OR 97212
(503) 282-1070
(503) 282-1990
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC189999
OR
225700000X
Massage Therapist
19300
OR
225700000X
Massage Therapist
MA60401348
WA
Other
Enumeration date
10/24/2013
Last updated
12/21/2018
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