Individual
EMILY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22204 SKYVIEW DR, WEST LINN, OR 97068-8232
(503) 521-6456
Mailing address
22204 SKYVIEW DR, WEST LINN, OR 97068-8232
(503) 521-6456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20931
OR
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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