Individual
EDWIN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
14313 NE 20TH AVE, A112, VANCOUVER, WA 98686-1487
(360) 574-9440
Mailing address
3508 N ST, VANCOUVER, WA 98663-2440
(360) 852-7424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60690259
WA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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