Individual
PAIGE PAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2935 MARINE DR, ASTORIA, OR 97103-2831
(503) 325-1735
Mailing address
PO BOX 324, ASTORIA, OR 97103-0324
(503) 325-1735
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7185
OR
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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