Individual
NANCY ELLEN LAUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7886 SE 13TH AVE, PORTLAND, OR 97202-6300
(503) 956-9396
(503) 206-4791
Mailing address
1327 SE TACOMA ST # 157, PORTLAND, OR 97202-6639
(503) 233-9874
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7104
OR
Other
Enumeration date
08/15/2024
Last updated
08/19/2024
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