Individual
AMBER WOOTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3000 NE STUCKI AVE, HILLSBORO, OR 97124-7107
(503) 567-9902
Mailing address
15602 NW GRAF ST, PORTLAND, OR 97229-9272
(503) 707-9977
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-28503
AZ
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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