Individual
ANITA TRAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8551 SE 34TH AVE, MILWAUKIE, OR 97222-5517
(503) 794-2838
Mailing address
8551 SE 34TH AVE, MILWAUKIE, OR 97222-5517
(503) 794-2838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11201
OR
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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