Individual
DANIELLE BOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
182 SW WYATT ST, DALLAS, OR 97338-1239
(503) 347-2348
Mailing address
182 SW WYATT ST, DALLAS, OR 97338-1239
(503) 347-2348
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25650
OR
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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