Individual
MIRIAM GERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1435 NW 23RD AVE, PORTLAND, OR 97210-2642
(503) 453-9005
Mailing address
10050 N SYRACUSE ST, PORTLAND, OR 97203-1438
(503) 453-9005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6732
OR
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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