Individual
NORA BAULDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6395 KEIZER STATION BLVD NE, KEIZER, OR 97303-2305
(503) 589-1597
Mailing address
920 WILBUR ST SE, SALEM, OR 97302-3040
(503) 507-0128
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13278
OR
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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