Heather Green-Bostwick, L.M.T.

NPI #1265820690 in Lake Oswego, Oregon

Provider Information

NPI Number: 1265820690
Entity Type: Individual
Name: Heather Green-Bostwick, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: L.M.T.
Enumeration Date: Jan 8, 2015
Last Updated: Feb 28, 2022

Practice Location

Address: 4201 CHAPMAN WAY
City: Lake Oswego
State: Oregon
ZIP Code: 97035-5562
Phone: (503) 954-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Specialist	174400000X	Primary

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