Individual
DOROTHY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12405 SW MAIN ST, TIGARD, OR 97223-6109
(503) 620-4880
Mailing address
12405 SW MAIN ST, TIGARD, OR 97223-6109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12437
OR
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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