Individual
MATTHEW HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13305 NW CORNELL RD STE E, PORTLAND, OR 97229-5987
(503) 746-5085
Mailing address
1512 SE 16TH AVE APT 105, PORTLAND, OR 97214-4760
(949) 370-2335
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23950
OR
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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