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Individual

HAILEE ELIZABETH GAMBRELL-KREBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
12741 NE HALSEY ST, PORTLAND, OR 97230-2343
(503) 255-0306
Mailing address
10455 SE COOK CT APT 168, PORTLAND, OR 97222-9015
(541) 636-6245

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24306
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24306
LMT NUMBER
OR
Enumeration date
07/02/2019
Last updated
07/02/2019
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