Individual
LAURA ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4160 SE DIVISION ST, PORTLAND, OR 97202-1647
(970) 389-3946
Mailing address
6926 SE OGDEN ST, PORTLAND, OR 97206-7382
(970) 389-3946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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