Individual
ANDREW PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OR. L.M.T. #15989
Contact information
Practice address
811 E BURNSIDE ST STE 217, PORTLAND, OR 97214-1231
(500) 344-6086
Mailing address
811 E BURNSIDE ST STE 217, PORTLAND, OR 97214-1231
(500) 344-6086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15989
OR
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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