Individual
FAWN MERRY GUENTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
434 N VILLA RD, NEWBERG, OR 97132-1855
(503) 554-0022
(503) 554-0033
Mailing address
434 N VILLA RD, NEWBERG, OR 97132-1855
(503) 554-0022
(503) 554-0033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21879
OR
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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