Individual
MS. MARGUERITE PINGREY SPAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1820 SW VERMONT ST, SUITE C, PORTLAND, OR 97219-1945
(503) 320-4913
Mailing address
1820 SW VERMONT ST, SUITE C, PORTLAND, OR 97219-1945
(503) 320-4913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2992
OR
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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