Individual
MARA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4876 NW BETHANY BLVD STE L1, PORTLAND, OR 97229-9259
(971) 404-5006
Mailing address
3320 NW 164TH TER, BEAVERTON, OR 97006-7299
(971) 404-5006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22532
OR
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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