Individual
AMANDA HOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
401 E FRONT ST, PORT ANGELES, WA 98362-3113
(360) 565-1199
Mailing address
1415 E 4TH ST, PORT ANGELES, WA 98362-4707
(206) 347-6659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA84400
WA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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