Individual
MRS. BRENDA MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 EVERGREEN WAY STE 601, WASHOUGAL, WA 98671-2062
(360) 835-9911
Mailing address
18699 NE MARINE DR SLIP K5, PORTLAND, OR 97230-7360
(918) 812-2086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60960591
WA
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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