Individual
MISS JOANN MARIE WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2125 N WILLIS BLVD, PORTLAND, OR 97217-6841
(971) 227-6385
Mailing address
2125 N WILLIS BLVD, PORTLAND, OR 97217-6841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21415
OR
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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