Individual
DODIE DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1413 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3640
(503) 841-6460
Mailing address
5080 NE 33RD AVE APT 5, PORTLAND, OR 97211-6967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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