Individual
MARK GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4906 SE HOLGATE BLVD, PORTLAND, OR 97206-4080
(503) 236-3330
Mailing address
4906 SE HOLGATE BLVD, PORTLAND, OR 97206-4080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7500
OR
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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