Individual
MICHELLE LEA HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1975 NW 167TH PL STE 100-14, BEAVERTON, OR 97006-4908
(225) 205-9869
Mailing address
3655 NW 181ST PL, PORTLAND, OR 97229-3309
(225) 205-9869
(503) 419-9872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22292
OR
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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