Individual
MRS. LAUREL WHITE WOLFE SURLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
15435 SW GLENEDEN DR, BEAVERTON, OR 97007-5968
(503) 894-4888
Mailing address
15435 SW GLENEDEN DR, BEAVERTON, OR 97007-5968
(503) 894-4888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17485
OR
Other
Enumeration date
09/01/2010
Last updated
04/07/2021
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