Individual
ANNA DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5215 NE ELAM YOUNG PKWY, SUITE, A, HILLSBORO, OR 97124-6498
(503) 693-9101
Mailing address
6998 SW WINDEMERE LOOP, PORTLAND, OR 97225-6174
(503) 806-2376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17481
OR
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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