Individual
LISA MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22566 SW WASHINGTON ST STE 211, SHERWOOD, OR 97140-7923
(503) 407-6634
Mailing address
22566 SW WASHINGTON ST STE 211, SHERWOOD, OR 97140-7923
(503) 407-6634
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14008
OR
Other
Enumeration date
11/20/2007
Last updated
09/08/2008
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