Individual
GREGORY MORING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
160 S OAK ST STE 100, SISTERS, OR 97759-1589
(206) 940-5365
Mailing address
160 S OAK ST STE 100, SISTERS, OR 97759-1589
(206) 940-5365
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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