Candace M Bethel, LMT

NPI #1477780559 in Forest Grove, Oregon

Provider Information

NPI Number: 1477780559
Entity Type: Individual
Name: Candace M Bethel, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jun 16, 2009
Last Updated: Jun 16, 2009

Practice Location

Address: 1911 MOUNTAIN VIEW LN
Address 2: SUITE 200
City: Forest Grove
State: Oregon
ZIP Code: 97116-2382
Phone: (503) 357-2826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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