Individual
MARIE S. BLAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1015 12TH ST, HOOD RIVER, OR 97031-1539
(503) 209-1561
Mailing address
904 5TH ST, HOOD RIVER, OR 97031-2112
(503) 209-1561
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
7305
OR
225700000X
Massage Therapist
61555330
WA
225700000X
Massage Therapist
Primary
7305
OR
Other
Enumeration date
10/24/2008
Last updated
10/31/2025
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