Individual
MS. DIANE MAUREE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7046 NE EMERSON, PORTLAND, OR 97218-3430
(503) 261-9783
(503) 255-2326
Mailing address
7046 NE EMERSON, PORTLAND, OR 97218-3430
(503) 261-9783
(503) 255-2326
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2201
OR
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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