Individual
LYNNA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4949 S MACADAM AVE, PORTLAND, OR 97239-3912
(737) 222-1770
Mailing address
20 NW 16TH AVE APT 409, PORTLAND, OR 97209-2625
(737) 222-1770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27271
OR
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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