Individual
CANDICE RENEE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1975 NW 167TH PL, BEAVERTON, OR 97006-4908
(971) 219-2902
Mailing address
1975 NW 167TH PL, BEAVERTON, OR 97006-4908
(971) 219-2902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20080
OR
Other
Enumeration date
08/28/2013
Last updated
05/30/2023
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