Individual
DONNA MARIE DINWIDDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
514 MAIN ST, VANCOUVER, WA 98660-3128
(360) 269-7673
Mailing address
2727 SW TEXAS ST, PORTLAND, OR 97219-1922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00022447
WA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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