Individual
JULIA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2100 NE BROADWAY ST STE 125, PORTLAND, OR 97232-1500
(503) 477-8222
(971) 373-8648
Mailing address
2100 NE BROADWAY ST STE 125, PORTLAND, OR 97232-1500
(503) 477-8222
(971) 373-8648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24633
OR
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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