Individual
LAUREN MCANINCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4424 SE CLAY ST, PORTLAND, OR 97215-3151
(971) 230-4705
Mailing address
4424 SE CLAY ST, PORTLAND, OR 97215-3151
(971) 230-4705
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
145957
OR
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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