Individual
JULIE M REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 SW HALL BLVD, BEAVERTON, OR 97005-2053
(503) 526-8828
Mailing address
31070 NW COMMERCIAL ST, NORTH PLAINS, OR 97133-6210
(503) 789-8349
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22535
OR
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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