Individual
UMA DAWN OSHA TUPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
(503) 525-9642
Mailing address
925 NW DAVIS ST, PORTLAND, OR 97209-3103
(503) 525-9642
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01052
OR
225700000X
Massage Therapist
6686
OR
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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