Individual
MARTA NAN DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7921 SW CIRRUS DR, SUITE 27C, BEAVERTON, OR 97008-5971
(503) 939-6922
Mailing address
8965 SW 157TH AVE, BEAVERTON, OR 97007-6674
(503) 939-6922
(503) 371-7974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18526
OR
Other
Enumeration date
11/02/2011
Last updated
10/28/2020
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