Individual
ANGELA DENISE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
412 E MAIN AVE, SUITE 1, SISTERS, OR 97759
(541) 410-1212
(541) 549-6403
Mailing address
412 E MAIN AVE SUITE 1, PO BOX 472, SISTERS, OR 97759
(541) 410-1212
(541) 549-6403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20341
OR
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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