Individual
MRS. RENEE MONIQUE BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8325 SW MOHAWK ST., APT #153, TUALATIN, OR 97062
(503) 691-8572
Mailing address
8325 SW MOHAWK ST., APT #153, TUALATIN, OR 97062
(503) 691-8572
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
15069
OR
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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