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Individual

MS. MIRANDA MARIE MOREHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
8315 N DENVER AVE, PORTLAND, OR 97217-6707
(541) 953-1051
Mailing address
8315 N DENVER AVE, PORTLAND, OR 97217-6707
(541) 953-1051

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18140
OR

Other

Enumeration date
12/20/2011
Last updated
10/08/2012
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