Individual
MARY E TINDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5424 SE 82ND AVE, PORTLAND, OR 97266-4811
(503) 477-8720
Mailing address
3155 SW MOODY AVE APT 512, PORTLAND, OR 97239-4733
(971) 706-1624
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20871
OR
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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