Amanda Mccracken, L.M.T.

NPI #1124263850 in Lake Oswego, Oregon

Provider Information

NPI Number: 1124263850
Entity Type: Individual
Name: Amanda Mccracken, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: L.M.T.
Enumeration Date: Dec 9, 2008
Last Updated: Dec 9, 2008

Practice Location

Address: 7045 MONTAUK CIR
City: Lake Oswego
State: Oregon
ZIP Code: 97035-7828
Phone: (503) 470-9161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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