Individual
MR. MICHAEL PAUL REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
559 GLATT CIR, WOODBURN, OR 97071-9675
(503) 981-4591
(503) 982-3308
Mailing address
22551 BOONES FERRY RD NE, AURORA, OR 97002-9409
(503) 678-5117
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13970
OR
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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