Individual
HIROMI ANDO DUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
211 SE 105TH AVE, #Q104, PORTLAND, OR 97216-2786
(503) 888-9830
Mailing address
211 SE 105TH AVE, #Q104, PORTLAND, OR 97216-2786
(503) 888-9830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17463
OR
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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