Ulric Shawn Legouest, LMT

NPI #1770937740 in Gresham, Oregon

Provider Information

NPI Number
1770937740
Entity Type
Individual
Name
Ulric Shawn Legouest, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Apr 15, 2016
Last Updated
Apr 15, 2016

Practice Location

Address
22400 SE STARK ST # 105
State
Oregon
ZIP Code
97030-2656
Phone
(503) 907-0099

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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