Individual
ANDREA LEAH MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15240 SE 82ND DR, CLACKAMAS, OR 97015-9606
(503) 656-5510
(503) 656-8080
Mailing address
15240 SE 82ND DR, CLACKAMAS, OR 97015-9606
(503) 656-5510
(503) 656-8080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9525
OR
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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