Individual
MANDY JEAN BEEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19365 SW 65TH AVE STE 204, TUALATIN, OR 97062-9196
(503) 860-2372
Mailing address
19365 SW 65TH AVE STE 204, TUALATIN, OR 97062-9196
(503) 860-2372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18053
OR
Other
Enumeration date
02/04/2013
Last updated
04/16/2018
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