Individual
MISS ANNA GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1001 SW DISK DR STE 110, BEND, OR 97702-2946
(808) 990-7785
Mailing address
62870 DESCHUTES RD, BEND, OR 97701-9309
(808) 990-7785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19113
OR
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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