Individual
JANIS ENDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14619 SW TEAL BLVD, BEAVERTON, OR 97007-6194
(503) 481-2973
Mailing address
14619 SW TEAL BLVD, BEAVERTON, OR 97007-6194
(503) 481-2973
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9208
OR
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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