Individual
MICHELLE SHAWN CROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLT
Contact information
Practice address
5939 SE BELMONT ST UNIT A, PORTLAND, OR 97215-1994
(503) 774-2240
Mailing address
3280 SW 170TH AVE, BEAVERTON, OR 97006-5077
(503) 312-1741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10039
OR
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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