Individual
ANNA ROSE HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
909 N BEECH ST UNIT 209, PORTLAND, OR 97227-1260
(503) 871-8973
Mailing address
15176 SW CANYON WREN WAY, BEAVERTON, OR 97007-1396
(503) 871-8973
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18404
OR
Other
Enumeration date
07/07/2016
Last updated
02/07/2022
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