Individual
DEBORAH LYNN PASTERNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1495 8TH STREET, SUITE C, FLORENCE, OR 97439
(541) 991-2555
(541) 997-3662
Mailing address
1657 34TH ST, FLORENCE, OR 97439-8360
(541) 991-2555
(541) 997-3662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13315
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13315
STATE MASSAGE LICENSE
OR
Enumeration date
04/03/2012
Last updated
04/03/2012
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