Individual
PATRICIA LYNN HARRIS-HERDENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
340 NE EVANS ST, MCMINNVILLE, OR 97128-4605
(503) 434-6170
(503) 472-2711
Mailing address
340 NE EVANS ST, MCMINNVILLE, OR 97128-4605
(503) 434-6170
(503) 472-2711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2399
OR
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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