Individual
ABBY MICHELLE BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 SE ANKENY ST, PORTLAND, OR 97214-1493
(513) 319-7433
Mailing address
1507 SE ANKENY ST, PORTLAND, OR 97214-1493
(513) 319-7433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12650
OR
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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