Individual
MISS AMY N WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 COLLINS WAY, SUITE 201, LAKE OSWEGO, OR 97035-3480
(503) 635-1236
Mailing address
3990 COLLINS WAY, SUITE 201, LAKE OSWEGO, OR 97035-3480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12836
OR
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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