Individual
LAURA PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2002 12TH ST, HOOD RIVER, OR 97031-9543
(541) 490-2036
Mailing address
3010 ELIOT DR, HOOD RIVER, OR 97031-9574
(541) 490-2036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19960
OR
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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