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Individual

MRS. ANNAMIEKA HOPPS DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
2933 SE 20TH AVE, PORTLAND, OR 97202-2234
(503) 208-5331
Mailing address
2815 SE 60TH AVE, PORTLAND, OR 97206-1310
(541) 556-9208

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18137
OR

Other

Enumeration date
06/03/2011
Last updated
03/14/2013
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