Individual
NANCY J MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3230 SW 198TH AVE, ALOHA, OR 97006-2350
(503) 591-0805
(503) 642-9611
Mailing address
3230 SW 198TH AVE, ALOHA, OR 97006-2350
(503) 591-0805
(503) 642-9611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5184
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5184
STATE LICENSE
OR
Enumeration date
08/01/2007
Last updated
08/01/2007
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