Individual
GREGORY ALLEN RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 BRUTSCHER ST STE 208, NEWBERG, OR 97132-6097
(503) 538-0100
(971) 832-8554
Mailing address
901 BRUTSCHER ST STE 208, NEWBERG, OR 97132-6097
(503) 538-0100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21602
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21602
OBMT
OR
Enumeration date
10/09/2018
Last updated
10/09/2018
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