Individual
ASHLEY MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 SW PARK AVE, 103, PORTLAND, OR 97201-7807
(503) 476-6676
Mailing address
1525 SW PARK AVE, 103, PORTLAND, OR 97201-7807
(503) 476-6676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14706
OR
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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