Individual
CARRIE LYNN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222-6001
(503) 659-0073
Mailing address
8821 SW PIPPEN LN, TIGARD, OR 97224-5237
(503) 347-1051
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10886
OR
Other
Enumeration date
05/21/2018
Last updated
01/25/2019
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