Individual
MICHELE LEE PATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1010 12TH ST, STE B, HOOD RIVER, OR 97031
(541) 380-0918
Mailing address
820 RAND RD, HOOD RIVER, OR 97031
(541) 380-0918
(541) 386-4008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8039
OR
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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