Individual
DYLAN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9266 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3314
(503) 377-1595
Mailing address
9266 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3314
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023137
OR
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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