Individual
AMY TOPHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11313 SE 31ST AVE, MILWAUKIE, OR 97222-6713
(503) 453-5647
Mailing address
11313 SE 31ST AVE, MILWAUKIE, OR 97222-6713
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12170
OR
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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