Individual
HEATHER GREEN-BOSTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4201 CHAPMAN WAY, LAKE OSWEGO, OR 97035-5562
(503) 954-0580
Mailing address
4201 CHAPMAN WAY, LAKE OSWEGO, OR 97035-5562
(503) 954-0580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19356
OR
225700000X
Massage Therapist
19356
OR
Other
Enumeration date
01/08/2015
Last updated
02/28/2022
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