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Individual

GREGORY MORING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA60159639
WA
225700000X
Massage Therapist
Primary
18188
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18188
STATE OF OREGON BOARD OF MASSAGE THERAPISTS
OR
Enumeration date
09/02/2010
Last updated
10/04/2019
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