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Individual

ASHLEY SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
911 SE 60TH AVE APT 204, PORTLAND, OR 97215-2835
(541) 206-9002
Mailing address
302 E 28TH ST APT C, VANCOUVER, WA 98663-3070
(360) 949-8295

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60459087
WA

Other

Enumeration date
06/30/2014
Last updated
01/10/2019
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