Individual
ANGELA G VANDENBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
39 NE KELLY AVE, GRESHAM, OR 97030-7539
(503) 314-9162
(503) 492-8560
Mailing address
39 NE KELLY AVE, GRESHAM, OR 97030-7539
(503) 314-9162
(503) 492-8560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6248
OR
Other
Enumeration date
03/08/2007
Last updated
09/08/2016
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