Individual
MONA DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5128 NE 42ND AVE, PORTLAND, OR 97218-1506
(916) 251-6920
Mailing address
615 MAIN ST APT 204, VANCOUVER, WA 98660-3166
(916) 251-6920
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22699
OR
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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