Individual
JUDY TREEHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6035 SE CLINTON ST, PORTLAND, OR 97206-1337
(503) 334-9640
Mailing address
6035 SE CLINTON ST, PORTLAND, OR 97206-1337
(503) 334-9640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7212
OR
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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