Individual
BONNIE CLEAVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4566 GOODRICH HWY, OAKLAND, OR 97462-9636
(541) 255-6569
Mailing address
4566 GOODRICH HWY, OAKLAND, OR 97462-9636
(541) 255-6569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13586
OR
Other
Enumeration date
11/26/2014
Last updated
11/28/2014
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