person
Bonnie L Fossek
Massage Therapist in Portland, Oregon
NPI 1144843624

Bonnie L Fossek is a Massage Therapist based in Portland, OR. Bonnie L Fossek practices in Portland, OR. The NPI Number for Bonnie L Fossek is 1144843624 and holds a License No. LMT-22202 (Oregon).

The current practice location address for Bonnie L Fossek is 9046 Se Pine St, Portland, OR and can be reached out via phone at 503-313-9425.

Location: 9046 Se Pine St, Portland, OR, 97216-1565
person
Provider Profile Details
NPI Number
1144843624
Provider Name
Bonnie L Fossek
Credential
Provider Entity Type
Individual
Gender
Female
Address
9046 Se Pine St, Portland, OR, 97216-1565
Phone Number
503-313-9425
Fax Number
Provider Enumeration Date
05/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9046 Se Pine St
City
State
Zip
97216-1565
Phone Number
503-313-9425
Fax Number
person
Provider Business Mailing Address Details
Address
9046 Se Pine St
City
State
Zip
97216-1565
Phone Number
503-313-9425
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
LMT-22202 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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