Individual
DAVID HOTCHKISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 724-0378
Mailing address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 724-0378
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
25026
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25026
MASSAGE THERAPIST
OR
Enumeration date
06/11/2019
Last updated
06/11/2019
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