Individual
HEATHER LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 COMMERCIAL ST SE, SUITE 260, SALEM, OR 97302-4172
(503) 391-9222
Mailing address
PO BOX 4653, SALEM, OR 97302-8653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18746
OR
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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