Individual
DANIEL CHRISTIAN TAUTENHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6127 NE MILTON ST, PORTLAND, OR 97213-3243
(503) 490-8144
Mailing address
6127 NE MILTON ST, PORTLAND, OR 97213-3243
(503) 490-8144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8088
OR
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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