Individual
JUSTIN CANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5935 WILLOW LN, LAKE OSWEGO, OR 97035-5344
(503) 655-0044
Mailing address
12653 SW METTA TER, TIGARD, OR 97223-5737
(503) 313-0430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12411
OR
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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