Individual
NATALIE BETH CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4424 NE GLISAN ST, PORTLAND, OR 97213-2331
(971) 344-3648
Mailing address
4424 NE GLISAN ST, PORTLAND, OR 97213-2331
(971) 344-3648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27117
OR
Other
Enumeration date
06/28/2022
Last updated
11/04/2022
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