Individual
LORI DENISE BURKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9650 S PACIFIC HWY W, MONMOUTH, OR 97361-9683
(503) 932-1065
Mailing address
PO BOX 579, MONMOUTH, OR 97361-0579
(503) 932-1065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21949
OR
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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