Crystal Lena Porthen, LMP

NPI #1740689678 in Maple Valley, Washington

Provider Information

NPI Number
1740689678
Entity Type
Individual
Name
Crystal Lena Porthen, LMP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMP
Enumeration Date
Aug 15, 2014
Last Updated
Aug 15, 2014

Practice Location

Address
23229 LOWER DORRE DON WAY SE
ZIP Code
98038-8283
Phone
(425) 466-4907

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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