Individual
ANN L GAZELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
521 SW 11TH AVE, #306, PORTLAND, OR 97205-2634
(503) 230-7136
Mailing address
521 SW 11TH AVE, #306, PORTLAND, OR 97205-2634
(503) 230-7136
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5931
OR
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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