Individual
MYRIAM CATHERINE RAVENWISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
216 7TH ST, OREGON CITY, OR 97045-1805
(503) 765-6474
Mailing address
216 7TH ST, OREGON CITY, OR 97045-1805
(503) 765-6474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23858
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23858
MASSAGE LICENSE
OR
Enumeration date
03/07/2018
Last updated
12/16/2025
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