Individual
DONNA M TRAAEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
710 NE 17TH AVE, CANBY, OR 97013-2350
(503) 266-4660
Mailing address
710 NE 17TH AVE, CANBY, OR 97013-2350
(503) 266-4660
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11550
OR
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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