Individual
MADELYN AC BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8288 SE 13TH AVE, PORTLAND, OR 97202-6610
(503) 477-9037
Mailing address
1976 NW PETTYGROVE ST APT 212, PORTLAND, OR 97209-1694
(503) 722-4021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27688
OR
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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