Individual
ONEDONNA INTHAVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8885 SW CANYON RD, SUITE129, PORTLAND, OR 97225-3431
(503) 260-7574
Mailing address
8885 SW CANYON RD, SUITE 129, PORTLAND, OR 97225-3431
(503) 260-7574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5513
OR
Other
Enumeration date
02/10/2013
Last updated
05/15/2013
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