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Individual

AMBER HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
51577 COLUMBIA RIVER HWY, SCAPPOOSE, OR 97056-8409
(503) 410-0059
Mailing address
52450 SE 3RD ST, SCAPPOOSE, OR 97056-3621
(503) 410-0059

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23943
OR

Other

Enumeration date
05/01/2018
Last updated
05/01/2018
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