Individual
MS. MARY M DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPY
Contact information
Practice address
8879 SW CENTER ST, TIGARD, OR 97223-6461
(503) 620-0724
(503) 624-2177
Mailing address
12950 SW PACIFIC HWY STE 115, TIGARD, OR 97223-5052
(503) 620-0724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4417
OR
Other
Enumeration date
08/07/2007
Last updated
03/01/2021
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