Individual
DANIEL FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
200 NE 20TH AVE, PORTLAND, OR 97232-3094
(503) 764-5080
Mailing address
5533 NE 30TH AVE, PORTLAND, OR 97211-6805
(503) 764-5080
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17054
OR
Other
Enumeration date
03/25/2011
Last updated
05/08/2013
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