Individual
MANDIE BEIRDNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18682 SW BRYANT ST, BEAVERTON, OR 97003-4462
(503) 810-6591
Mailing address
18682 SW BRYANT ST, BEAVERTON, OR 97003-4462
(503) 810-6591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19665
OR
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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