Individual
OSCAR J TRUJILLO LUCATERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 526-9285
Mailing address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21668
OR
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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