Individual
MORGAN MARIE SPANGRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4630 RIVER RD. N., SUITE A, KEIZER, OR 97303-9730
(503) 304-2225
(503) 304-2226
Mailing address
4630 RIVER RD N STE A, KEIZER, OR 97303-4648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23989
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23989
LICENSE
OR
Enumeration date
01/16/2018
Last updated
01/16/2018
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