Individual
PAMELA DORNBUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1300 NE ADAMS ST STE A, MCMINNVILLE, OR 97128-3500
(503) 474-4569
Mailing address
311 NW FOXGLOVE ST, DALLAS, OR 97338-1193
(541) 297-3247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18797
OR
Other
Enumeration date
09/09/2024
Last updated
10/24/2024
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