Individual
MR. MICHAEL DENNIS O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5250
(971) 983-5253
Mailing address
2833 HOOVER AVE NW, SALEM, OR 97304-3789
(503) 409-3848
(971) 983-5253
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11989
OR
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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