MRS. Angela Jean Davis, LMT

NPI #1043345267 in Tigard, Oregon

Provider Information

NPI Number: 1043345267
Entity Type: Individual
Name: MRS. Angela Jean Davis, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 18039 SW LOWER BOONES FERRY RD
City: Tigard
State: Oregon
ZIP Code: 97224-7228
Phone: (503) 481-4945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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