Individual
CLAIRE GAUNTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 NE KILLINGSWORTH ST, PORTLAND, OR 97211-6814
(513) 400-8992
Mailing address
2415 NE SUMNER ST, PORTLAND, OR 97211-6353
(513) 400-8992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17913
OR
Other
Enumeration date
04/25/2012
Last updated
04/08/2013
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