Individual
MRS. ROWENA BELLE PORTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, LAMP
Contact information
Practice address
2400 NW MYHRE RD, SILVERDALE, WA 98383-7672
(360) 229-3470
Mailing address
PO BOX 2778, 3521 NW PRINCETON LANE, 12-103, SILVERDALE, WA 98383-2778
(360) 229-3470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00024197
MASSAGE THERAPIST
WA
Enumeration date
05/07/2007
Last updated
04/05/2013
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