Joshua James Davenport, LMT

NPI #1518304443 in Gresham, Oregon

Provider Information

NPI Number
1518304443
Entity Type
Individual
Name
Joshua James Davenport, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jun 1, 2013
Last Updated
Jun 1, 2013

Practice Location

Address
837 E POWELL BLVD
State
Oregon
ZIP Code
97030-7617
Phone
(503) 669-9495

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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