Individual
DENISE SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6035 NW 165TH TER, PORTLAND, OR 97229-9204
(503) 702-7464
Mailing address
6035 NW 165TH TER, PORTLAND, OR 97229-9204
(503) 702-7464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23783
OR
Other
Enumeration date
05/15/2018
Last updated
02/08/2019
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