Organization
MICHELLE DENISE ROBERTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DENISE ROBERTS LMT (OWNER/LMT)
(503) 490-2693
Entity
Organization
Contact information
Practice address
2100 SE LAKE RD, SUITE 2B, MILWAUKIE, OR 97222-7759
(503) 490-2693
Mailing address
2100 SE LAKE RD STE 2B, MILWAUKIE, OR 97222-7759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15528
OR
Other
Enumeration date
08/28/2010
Last updated
07/09/2013
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