Individual
ERIK WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1217 NE BURNSIDE RD, SUITE 301, GRESHAM, OR 97030-6722
(503) 492-2625
Mailing address
1217 NE BURNSIDE RD, SUITE 301, GRESHAM, OR 97030-6722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18785
OR
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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