Dustie Nicole Chapman, L.M.T.

NPI #1104172410 in Beaverton, Oregon

Provider Information

NPI Number: 1104172410
Entity Type: Individual
Name: Dustie Nicole Chapman, L.M.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Jul 24, 2012
Last Updated: Jul 24, 2012

Practice Location

Address: 2155 NW 173RD AVE
Address 2: STE. 103
City: Beaverton
State: Oregon
ZIP Code: 97006-3563
Phone: (503) 352-0735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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