Individual
MRS. LAUREN L SWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1330 SE 39TH AVE, PORTLAND, OR 97214-4322
(503) 232-1200
Mailing address
73 NE STANTON ST APT 3, PORTLAND, OR 97212-3029
(503) 957-3059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11835
OR
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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