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Individual

CHELSEA DAWN TREHARNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
102 E 2ND ST, THE DALLES, OR 97058-1733
(415) 288-1995
Mailing address
2122 W 16TH ST, THE DALLES, OR 97058-3810
(503) 405-2778

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10872
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10872
LICENSED MASSAGE THERAPIST
OR
Enumeration date
03/11/2022
Last updated
03/11/2022
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