Individual
JULIA GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
837 E POWELL BLVD, GRESHAM, OR 97030-7617
(503) 669-9495
Mailing address
837 E POWELL BLVD, GRESHAM, OR 97030-7617
(503) 669-9495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25814
OR
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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