Individual
ANGELA S POPE GORROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5005 NE 13TH AVE, PORTLAND, OR 97211-5079
(503) 473-8515
Mailing address
1555 N KILLINGSWORTH ST, PORTLAND, OR 97217-4543
(971) 266-9600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19686
OR
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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