Individual
MS. CAMILLA LYNN VAN LEUVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3575 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1155
(503) 857-5071
Mailing address
3575 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1155
(503) 857-5071
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17811
OR
Other
Enumeration date
02/14/2012
Last updated
06/26/2012
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