Individual
LARA ZEL HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 MONROE PKWY STE U, LAKE OSWEGO, OR 97035-8875
(503) 387-3205
Mailing address
9210 SW CENTER ST APT 3, TIGARD, OR 97223-6353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24408
OR
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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