Individual
HEATHER MACDONALD CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
15880 QUARRY RD, LAKE OSWEGO, OR 97035-3336
(971) 322-4026
Mailing address
15880 QUARRY RD, LAKE OSWEGO, OR 97035-3336
(971) 322-4026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7763
OR
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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