Individual
ERIC MARTIN VANLEEUWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2403 SE MONROE ST STE B, MILWAUKIE, OR 97222-7646
(503) 303-4078
Mailing address
931 SE TENINO ST, PORTLAND, OR 97202-6539
(415) 609-4343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23759
OR
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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