Alexis Mutchler, LMT

NPI #1013215912 in Portland, Oregon

Provider Information

NPI Number: 1013215912
Entity Type: Individual
Name: Alexis Mutchler, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Mar 2, 2011
Last Updated: Mar 2, 2011

Practice Location

Address: 9055 SW BEAVERTON-HILLSDALE HWY
Address 2: A
City: Portland
State: Oregon
ZIP Code: 97225-2438
Phone: (503) 644-4664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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