Individual
LAURA DAWN CUMMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 SW PARK AVE STE 103, PORTLAND, OR 97201-7811
(503) 781-7430
Mailing address
1525 SW PARK AVE STE 103, PORTLAND, OR 97201-7811
(503) 781-7430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11187
OR
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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