Individual
HANNA MARIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15110 BOONES FERRY RD, LAKE OSWEGO, OR 97035-3468
(503) 939-8016
Mailing address
4114 NE 76TH AVE, PORTLAND, OR 97218-3948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023455
OR
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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