Individual
GRETCHEN KLOEPPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
(503) 250-4321
Mailing address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
(503) 250-4321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6678
OR
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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