Asha Rae Powell-Stormberg, LMT

NPI #1912281189 in Gladstone, Oregon

Provider Information

NPI Number: 1912281189
Entity Type: Individual
Name: Asha Rae Powell-Stormberg, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 5, 2011
Last Updated: Oct 5, 2011

Practice Location

Address: 19230 MCLOUGHLIN BLVD
Address 2: B
City: Gladstone
State: Oregon
ZIP Code: 97027-2625
Phone: (503) 449-5164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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