Individual
MS. HEIDI LOUANNN PAPASADERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6400 SE LAKE RD STE 140, MILWAUKIE, OR 97222-2129
(503) 706-2842
Mailing address
1550 SE LAVA DR APT 16, MILWAUKIE, OR 97222-3401
(503) 706-2842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13072
OR
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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