Individual
MICHELLE EMBREE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
679 E HARBOR DR # 140, WARRENTON, OR 97146-9717
(503) 861-1661
Mailing address
1673 7TH STREET, ASTORIA, OR 97103
(503) 791-8311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15290
OR
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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