Individual
MISS CARLEE MICHELLE GEHRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15282 SW TEAL BLVD, BEAVERTON, OR 97007-8129
(503) 200-0557
Mailing address
13020 SW CREEKSHIRE DR, TIGARD, OR 97223-5726
(503) 200-0557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225700000X
Massage Therapist
Primary
12793
OR
Other
Enumeration date
03/02/2009
Last updated
06/07/2013
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