Individual
LARRY SCHINDELDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 E HISTORIC COLUMBIA RIVER HWY, SUITE 208, TROUTDALE, OR 97060-2086
(808) 212-5706
(503) 328-6944
Mailing address
647 SW CHERRY PARK RD UNIT 602, TROUTDALE, OR 97060-0806
(808) 212-5706
(503) 328-6944
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19096
OR
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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