Individual
MRS. LYNNETTE MARIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
686 HIGH ST NE, SALEM, OR 97301-2438
(503) 930-4588
Mailing address
686 HIGH ST NE, SALEM, OR 97301
(503) 930-4588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13744
OR
Other
Enumeration date
04/12/2012
Last updated
03/21/2016
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