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Individual

MS. JANETTE MARIE WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
3990 COLLINS WAY STE 201, LAKE OSWEGO, OR 97035-3459
(503) 635-1236
(503) 697-4741
Mailing address
3990 COLLINS WAY STE 201, LAKE OSWEGO, OR 97035-3459
(503) 635-1236
(503) 697-4741

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
11510
OR
225700000X
Massage Therapist
Primary
MA00024569
WA

Other

Enumeration date
07/15/2008
Last updated
05/04/2012
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