Autumn L Roulan, LMT

NPI #1083993091 in Portland, Oregon

Provider Information

NPI Number
1083993091
Entity Type
Individual
Name
Autumn L Roulan, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
LMT
Enumeration Date
Aug 8, 2011
Last Updated
Aug 8, 2011

Practice Location

Address
5835 NE DAVIS ST.
State
Oregon
ZIP Code
97213-0000
Phone
(503) 231-8818

Specialties & Taxonomy Codes

Specialty
Contractor

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