Michelle Alexandra Mora

NPI #1043673627 in Bend, Oregon

Provider Information

NPI Number: 1043673627
Entity Type: Individual
Name: Michelle Alexandra Mora
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Apr 1, 2016
Last Updated: Apr 1, 2016

Practice Location

Address: 55 NW WALL ST STE 100
City: Bend
State: Oregon
ZIP Code: 97703-3200
Phone: (541) 389-4321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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