Individual
LYNN VANALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
289 E ELLENDALE AVE STE 102, DALLAS, OR 97338-1500
(503) 623-5505
Mailing address
289 E ELLENDALE AVE, DALLAS, OR 97338-1580
(503) 623-5505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8029
OR
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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