Individual
DANYELLE MARIE TINKER LOWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1785 NE SANDY BLVD, SUITE 290, PORTLAND, OR 97232-2850
(503) 208-6717
Mailing address
5575 NE SANDYCREST TER APT 3, PORTLAND, OR 97213-2646
(503) 881-4786
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18597
OR
Other
Enumeration date
12/09/2011
Last updated
12/02/2014
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