Theresa Jean Ford L.M.T.

NPI 1063735918 - Massage Therapist - 225700000X

NPI Details
NPI 1063735918
Gender Female
Enumeration Date 03/07/2010
Last Updated 03/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
521 SW 11TH AVE
SUITE 305
PORTLAND OR, 97205-2634, US
Phone (503) 810-3091
Fax
Business Location
521 SW 11TH AVE
SUITE 305
PORTLAND OR, 97205-2634, US
Phone (503) 810-3091
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 7454
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According to our database, Ms. Theresa Jean Ford L.M.T. NPI is 1063735918, taxonomy code is 225700000X and license number is 7454, license state is located at Oregon. Theresa Jean Ford L.M.T. physically located at 521 Sw 11th Ave, Portland OR, 97205-2634. NPI Number Theresa Jean Ford L.M.T. has the Individual type.

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1063735918 NPI number is provided on an as is basis without warranty of any kind. 1063735918 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Jean Ford L.M.T. are for informational purposes only.