Individual
MICHELE HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 E POWELL BLVD, GRESHAM, OR 97030-7616
(503) 618-0147
Mailing address
790 E POWELL BLVD, GRESHAM, OR 97030-7616
(503) 618-0147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20963
OR
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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