Individual
OSMAN DAVID VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
17777 LOWER BOONES FERRY RD STE A, LAKE OSWEGO, OR 97035-5398
(503) 699-5888
Mailing address
3141 SE TIMBERLAKE DR, HILLSBORO, OR 97123-8368
(503) 327-4576
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21694
OR
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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