Individual
DANIEL GARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 E 1ST ST, NEWBERG, OR 97132-2938
(503) 538-0100
Mailing address
408 E 1ST ST, NEWBERG, OR 97132-2938
(503) 538-0100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21633
OR
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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