Individual
MR. COREY WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14355 SW ALLEN BLVD STE 120, BEAVERTON, OR 97005-4700
(503) 730-3038
Mailing address
14355 SW ALLEN BLVD STE 120, BEAVERTON, OR 97005-4700
(503) 730-3038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22299
OR
Other
Enumeration date
05/22/2013
Last updated
11/18/2021
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