MR. Scott David Michaels, L.AC., L.M.T.

NPI #1619178787 in Gresham, Oregon

Provider Information

NPI Number: 1619178787
Entity Type: Individual
Name: MR. Scott David Michaels, L.AC., L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.AC., L.M.T.
Enumeration Date: May 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 19201 SE DIVISION ST
City: Gresham
State: Oregon
ZIP Code: 97030-5291
Phone: (503) 293-6691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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