Individual
PATTIE LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 526-9285
Mailing address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 526-9285
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225700000X
Massage Therapist
Primary
18696
OR
Other
Enumeration date
04/06/2014
Last updated
11/23/2016
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