Individual
BETH DIANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3944 N MISSISSIPPI AVE, PORTLAND, OR 97227-1163
(503) 517-8222
Mailing address
4616 SE MILWAUKIE AVE APT 18, PORTLAND, OR 97202-4753
(503) 866-7758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10809
OR
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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