MRS. Michelle R Eide, LMT

NPI #1710134861 in Molalla, Oregon

Provider Information

NPI Number: 1710134861
Entity Type: Individual
Name: MRS. Michelle R Eide, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Aug 20, 2008
Last Updated: Aug 20, 2008

Practice Location

Address: 683 JUNE DR
City: Molalla
State: Oregon
ZIP Code: 97038-9281
Phone: (503) 351-7896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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