Individual
GRACE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
155 ALTA VISTA RD STE B, EAGLE POINT, OR 97524-9735
(541) 879-3443
Mailing address
155 ALTA VISTA RD STE B, EAGLE POINT, OR 97524-9735
(541) 879-3443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023501
OR
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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