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Individual

MRS. BRITNEY ANN CARREON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1397 NW 6TH ST BLDG 19A, REDMOND, OR 97756-1433
(541) 279-0733
Mailing address
3253 SW NEWBERRY AVE, REDMOND, OR 97756-8952
(541) 279-0733

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20778
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
93029
PACIFIC SOURCE HEALTH PLAN
OR
Enumeration date
08/17/2020
Last updated
08/17/2020
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