Individual
CRYSTAL MORNING SAINT ONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2505 SE 11TH AVE, SUITE 221, PORTLAND, OR 97202-1061
(503) 381-1905
Mailing address
2305 SE YAMHILL ST, PORTLAND, OR 97214-2848
(503) 381-1905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10004
OR
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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