Individual
BENJAMIN MINLEE HAONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1208 KOTKA ST, WOODBURN, OR 97071-4339
(206) 356-5337
Mailing address
1208 KOTKA ST, WOODBURN, OR 97071-4339
(206) 356-5337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24490
OR
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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