Individual
DANA LOFSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
470 6TH ST, STE C, LAKE OSWEGO, OR 97034-2920
(917) 574-5696
Mailing address
768 6TH ST, LAKE OSWEGO, OR 97034-2204
(917) 574-5696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21406
OR
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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