Individual
JAMES WETHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2505 SW SPRING GARDEN ST, PORTLAND, OR 97219-3966
(503) 841-6222
Mailing address
3238 WILD ROSE LOOP, WEST LINN, OR 97068-7231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26209
OR
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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