Individual
MR. GREGGORY MARVIN HEUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
5115 NE 94TH AVE STE D, VANCOUVER, WA 98662-6180
(360) 601-3985
Mailing address
12407 NE 41ST ST, VANCOUVER, WA 98682-6813
(360) 601-3985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60293267
WA
Other
Enumeration date
08/13/2012
Last updated
02/16/2015
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