Individual
MISS JOEY MICHELLE TORGRIMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM, LMT
Contact information
Practice address
6635 NE HANCOCK CT, #200, PORTLAND, OR 97213-5089
(503) 875-6257
Mailing address
6635 NE HANCOCK CT, #200, PORTLAND, OR 97213-5089
(503) 875-6257
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10147174
OR
225700000X
Massage Therapist
12921
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500643633
—
OR
Enumeration date
11/24/2008
Last updated
05/03/2012
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