Individual
BEVERLY RABIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
612 N 1ST ST, SILVERTON, OR 97381-1404
(503) 873-1963
Mailing address
612 N 1ST ST, SILVERTON, OR 97381-1404
(503) 873-1963
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14963
OR
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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