Individual
ISABEL FAGOAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
650 SW 3RD ST, CORVALLIS, OR 97333-4437
(760) 216-3507
Mailing address
410 NE SHERWOOD WAY, CORVALLIS, OR 97330-4130
(760) 216-3507
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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