Individual
MR. PAUL MICHAEL QUIDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
17105 NE EVERETT ST, PORTLAND, OR 97230-6271
(503) 997-8608
Mailing address
17105 NE EVERETT ST, PORTLAND, OR 97230-6271
(503) 997-8608
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13774
OR
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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