Individual
BETH WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
315 SE 7TH ST STE B, GRANTS PASS, OR 97526-3002
(970) 846-2419
Mailing address
315 SE 7TH ST STE B, GRANTS PASS, OR 97526-3002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023255
OR
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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