Individual
ANDREA FAITH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
12153 SE OATFIELD RD, MILWAUKIE, OR 97222-6950
(503) 387-3348
(503) 387-3347
Mailing address
PO BOX 22559, MILWAUKIE, OR 97269-2559
(503) 387-3348
(503) 387-3347
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6851
OR
Other
Enumeration date
05/16/2006
Last updated
03/22/2011
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