Individual
EMILY JUNE HOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10249 NE CLACKAMAS ST, PORTLAND, OR 97220-3915
(503) 206-6078
Mailing address
2706 SE PINE ST, PORTLAND, OR 97214-1836
(971) 804-0750
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24675
OR
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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