Individual
MR. CHARLES ROBERT WINKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5005 NE 13TH AVE, PORTLAND, OR 97211-5079
(503) 473-8515
Mailing address
1722 NW RALEIGH ST, #404, PORTLAND, OR 97209-1753
(503) 380-2813
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19186
OR
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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