Individual
MS. DOROTHY ANN CUNDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3863 B S W HALL BLVD, BEAVERTON, OR 97006
(503) 740-3670
Mailing address
17565 S W HANCOCK WAY, BEAVERTON OR, OR 97006
(503) 740-3670
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5316
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5316
LMT
OR
Enumeration date
07/26/2010
Last updated
07/26/2010
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