Individual
MS. ANGELA DELRAE PATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8800 SW CASHMUR LN, PORTLAND, OR 97225-3003
(503) 747-8064
Mailing address
8800 SW CASHMUR LN, PORTLAND, OR 97225-3003
(503) 747-8064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18716
OR
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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