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Individual

CARRIE ANN MILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, LMT

Contact information

Practice address
3800 SW CEDAR HILLS BLVD, SUITE #193, BEAVERTON, OR 97005-2027
(503) 643-3827
Mailing address
PO BOX 3760, HILLSBORO, OR 97123-1948
(503) 351-3557
(503) 628-0603

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6187
OR

Other

Enumeration date
11/24/2008
Last updated
11/24/2008
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