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Organization

MEGHAN DEVONPORT, LMP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MEGHAN DEVONPORT LMP (MASSAGE THERAPIST/BUSINESS OWNER)
(561) 843-5935
Entity
Organization

Contact information

Practice address
1417 NW 54TH ST STE 455, SEATTLE, WA 98107-3564
(561) 843-5935
Mailing address
3318 159TH LN SW, LYNNWOOD, WA 98087-1545
(561) 843-5935

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1962651976
WA
Enumeration date
11/21/2019
Last updated
11/21/2019
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