Individual
BARBARA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
36 NE ALORA DR, HERMISTON, OR 97838-1156
(541) 701-7375
Mailing address
36 NE ALORA DR, HERMISTON, OR 97838-1156
(541) 701-7375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26765
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26765
OREGON BOARD OF MASSAGE THERAPY
OR
Enumeration date
12/15/2021
Last updated
12/15/2021
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