Individual
LAURA FARNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2343 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123-7976
(503) 336-3456
Mailing address
2766 RAYMOND ST, FOREST GROVE, OR 97116-2393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21758
OR
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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