Individual
MS. CLARISSA J WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4180 SW 110TH AVE, BEAVERTON, OR 97005
(503) 526-3450
(503) 526-3540
Mailing address
4180 SW 110TH AVE, BEAVERTON, OR 97005
(503) 526-3450
(503) 526-3540
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11375
OR
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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