Individual
MARY SHANNON LOEWY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERIPST
Contact information
Practice address
6900 SW 195TH AVE UNIT 126, ALOHA, OR 97007-5539
(503) 591-8026
Mailing address
6900 SW 195TH AVE UNIT 126, ALOHA, OR 97007-5539
(503) 591-8026
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12715
OR
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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