Individual
LORI MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E MAIN ST, SUITE 11, HILLSBORO, OR 97123-4057
(503) 536-5146
(503) 846-9100
Mailing address
205 E MAIN ST, SUITE 11, HILLSBORO, OR 97123-4057
(503) 536-5146
(503) 846-9100
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
13533
OR
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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