Individual
PAMELA LYNN BETSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
790 NE WHARTON DR, GRANTS PASS, OR 97526-1631
(541) 660-1648
Mailing address
PO BOX 2332, GRANTS PASS, OR 97528-0206
(541) 660-1648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11631
OR
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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