Individual
CAILEN MAE NEWCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
960 S BROADWAY AVE STE 200, BOISE, ID 83706-3667
(208) 433-9211
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, PORTLAND, OR 97224-7736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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