Tina Nanette Thomas, LMT

NPI #1093075525 in Portland, Oregon

Provider Information

NPI Number: 1093075525
Entity Type: Individual
Name: Tina Nanette Thomas, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: May 17, 2012
Last Updated: May 17, 2012

Practice Location

Address: 440 NE 66TH AVE
City: Portland
State: Oregon
ZIP Code: 97213-5026
Phone: (503) 407-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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