Angela G Vandenbos, L.M.T.

NPI #1972634061 in Gresham, Oregon

Provider Information

NPI Number: 1972634061
Entity Type: Individual
Name: Angela G Vandenbos, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Mar 8, 2007
Last Updated: Sep 8, 2016

Practice Location

Address: 39 NE KELLY AVE
City: Gresham
State: Oregon
ZIP Code: 97030-7539
Phone: (503) 314-9162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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