Individual
MRS. D'NISE MICHELE MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3800 SW CEDAR HILLS BLVD STE 193, BEAVERTON, OR 97005-2003
(503) 643-3827
Mailing address
3800 SW CEDAR HILLS BLVD STE 193, BEAVERTON, OR 97005-2003
(503) 643-3827
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3239
OR
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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