Individual
PAMELA WOLTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 5TH ST, HOOD RIVER, OR 97031-2058
(541) 386-8757
Mailing address
PO BOX 815, HOOD RIVER, OR 97031-0027
(541) 386-8757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2352
OR
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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