Colleen L Mullins, LMT

NPI #1043580004 in Lake Oswego, Oregon

Provider Information

NPI Number: 1043580004
Entity Type: Individual
Name: Colleen L Mullins, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 9, 2012
Last Updated: Jan 9, 2012

Practice Location

Address: 3990 COLLINS WAY
Address 2: SUITE 201
City: Lake Oswego
State: Oregon
ZIP Code: 97035-3480
Phone: (503) 635-1236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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