Individual
ANGELA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 5TH ST, HOOD RIVER, OR 97031-2058
(541) 490-1444
Mailing address
3623 RYAN LN, HOOD RIVER, OR 97031-7606
(503) 419-7851
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17266
OR
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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