Individual
CHERYL A MOFFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
25195 SW PARKWAY AVE, STE# 205, WILSONVILLE, OR 97070-9651
(503) 209-5367
Mailing address
2557 WISTERIA CT, WEST LINN, OR 97068-7312
(503) 209-5367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5322
OR
Other
Enumeration date
03/09/2010
Last updated
11/21/2014
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