MS. Bethe Ann Mack, LMT

NPI #1033236922 in Portland, Oregon

Provider Information

NPI Number
1033236922
Entity Type
Individual
Name
MS. Bethe Ann Mack, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Health Maintenance Organization
Credential
LMT
Enumeration Date
Mar 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2625 SE HAWTHORNE BLVD
State
Oregon
ZIP Code
97214-2941
Phone
(503) 238-9788

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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