Individual
CANDIE JO AABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3144 SE 131ST AVE, PORTLAND, OR 97236-3228
(971) 254-4640
Mailing address
3144 SE 131ST AVE, PORTLAND, OR 97236-3228
(971) 254-4640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19982
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19982
OREGON BOARD OF MASSAGE THERAPY
OR
Enumeration date
09/15/2015
Last updated
09/15/2015
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