Misty L Mortensen
NPI #1104312974 in The Dalles, Oregon
Provider Information
- NPI Number
- 1104312974
- Entity Type
- Individual
- Name
- Misty L Mortensen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jul 5, 2018
- Last Updated
- Nov 13, 2018
Practice Location
- Address
- 551 LONE PINE BLVD
- City
- The Dalles
- State
- Oregon
- ZIP Code
- 97058-9403
- Phone
- (541) 506-5779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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