Individual
ANGELA C ORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LMT
Contact information
Practice address
118 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 288-4454
Mailing address
4230 NE 79TH AVE, PORTLAND, OR 97218-4204
(503) 327-4959
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14212
OR
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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