Ron Fennern

NPI #1881160992 in Newberg, Oregon

Provider Information

NPI Number: 1881160992
Entity Type: Individual
Name: Ron Fennern
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Oct 16, 2018
Last Updated: Oct 16, 2018

Practice Location

Address: 901 BRUTSCHER ST STE 208
City: Newberg
State: Oregon
ZIP Code: 97132-6097
Phone: (503) 538-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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