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Individual

GRETCHEN HOGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3339 SE DIVISION ST, SUITE F - AKASA THAI HEALING ARTS, PORTLAND, OR 97202-1492
(971) 230-8475
Mailing address
3150 SE TAYLOR ST, PORTLAND, OR 97214-4037
(971) 230-8475

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
12283
OR

Other

Enumeration date
12/18/2014
Last updated
10/16/2015
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