Individual
ANDREA ULRIKE TRAUTWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7900 BASELINE RD, BAY CITY, OR 97107-9698
(503) 680-1343
Mailing address
7900 BASELINE RD, BAY CITY, OR 97107-9698
(503) 680-1343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6015
OR
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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