Individual
MS. AMIE L PURDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
55 NW WALL ST, SUITE #100, BEND, OR 97701-3200
(541) 389-4321
Mailing address
55 NW WALL ST, SUITE #100, BEND, OR 97701-3200
(541) 389-4321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16677
OR
Other
Enumeration date
05/09/2012
Last updated
12/20/2013
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