Individual
BARBARA ANN PICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10211 SW BARBUR BLVD STE 206A, PORTLAND, OR 97219-5935
(503) 332-0454
Mailing address
3950 SW 102ND AVE APT 96, BEAVERTON, OR 97005-4674
(503) 332-0454
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
11011
OR
225700000X
Massage Therapist
Primary
11011
OR
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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