Individual
MRS. JOLENE E LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
501 NE HOOD AVE STE 205, GRESHAM, OR 97030-7325
(503) 674-7894
Mailing address
501 NE HOOD AVE STE 205, GRESHAM, OR 97030-7325
(503) 674-7894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19021
OR
225700000X
Massage Therapist
60286195
WA
Other
Enumeration date
07/13/2012
Last updated
01/03/2019
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