Individual
BRANDY HOUSEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 LANCASTER DR NE STE 107, SALEM, OR 97305-1065
(503) 589-0700
Mailing address
1281 LANCASTER DR NE, SALEM, OR 97301-1959
(503) 362-5555
(503) 362-7250
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023218
OR
Other
Enumeration date
01/04/2019
Last updated
10/11/2019
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