Individual
MATTHEW MCKENZIE CRAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
19365 SW 65TH AVE, TUALATIN, OR 97062-9196
(503) 486-5199
Mailing address
473 NW YOSEMITE TER, BEAVERTON, OR 97006-5890
(503) 332-1531
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22756
OR
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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