Individual
PAULETTE R THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1320 EDGEWATER ST NW STE 200, SALEM, OR 97304-4072
(503) 871-0062
Mailing address
3898 LONE OAK RD SE, SALEM, OR 97302-4743
(503) 871-0062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12288
OR
Other
Enumeration date
06/04/2007
Last updated
09/28/2024
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