Individual
JANET S. WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
67211 E HIGHWAY 26, WELCHES, OR 97067-8797
(503) 622-4165
Mailing address
23400 E BAILEY RD, RHODODENDRON, OR 97049-9710
(503) 622-4165
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6124
OR
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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