Individual
LORINDA ROSLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS LMT #17977
Contact information
Practice address
403 NE CEDAR ST, MADRAS, OR 97741-1921
(541) 241-5968
Mailing address
403 NE CEDAR ST, MADRAS, OR 97741-1921
(541) 771-4634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17977
OR
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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