Blake Holloway

NPI #1083461115 in Gresham, Oregon

Provider Information

NPI Number
1083461115
Entity Type
Individual
Name
Blake Holloway
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Enumeration Date
May 6, 2024
Last Updated
May 6, 2024

Practice Location

Address
4322 SE 182ND AVE
State
Oregon
ZIP Code
97030-5058
Phone
(503) 406-8846

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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