Individual
JULIE MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1016 SE 12TH AVE STE 3, PORTLAND, OR 97214-2513
(971) 344-7895
(855) 930-4111
Mailing address
PO BOX 17431, PORTLAND, OR 97217-0431
(971) 344-7895
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24979
OR
Other
Enumeration date
04/18/2019
Last updated
03/12/2021
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