Individual
MARY MARGARET RANSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6635 SE 31ST AVE, PORTLAND, OR 97202-8629
(503) 774-2628
Mailing address
6635 SE 31ST AVE, PORTLAND, OR 97202-8629
(503) 774-2628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12002
OR
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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