Individual
MS. ANGELA ILENE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2641 SW HUBER ST, PORTLAND, OR 97219-6338
(503) 891-6769
Mailing address
2641 SW HUBER ST, PORTLAND, OR 97219-6338
(503) 891-6769
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
NIA WHITE BELT
OR
225700000X
Massage Therapist
Primary
11246
OR
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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