Individual
MS. MIHO TOYOIZUMI PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1611 SE BYBEE BLVD, PORTLAND, OR 97202-5752
(503) 572-9234
Mailing address
1611 SE BYBEE BLVD, PORTLAND, OR 97202-5752
(503) 572-9234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14623
OR
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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