Individual
DEBBIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MONROE PKWY, SUITE U, LAKE OSWEGO, OR 97035-1486
(503) 387-3205
Mailing address
287550 SW ASHLAND LOOP #158, WILSONVILLE, OR 97070
(912) 704-3971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21663
OR
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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