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Douglas Lee Black, LMP
Massage Therapist in Vancouver, Washington
NPI 1295855138

Douglas Lee Black is a Massage Therapist based in Vancouver, WA. Douglas Lee Black practices in Vancouver, WA and has the professional credentials of LMP. The NPI Number for Douglas Lee Black is 1295855138 and holds a License No. MA00011374 (Washington).

The current practice location address for Douglas Lee Black is 16906 Se 1St St Ste 103, Vancouver, WA and can be reached out via phone at 360-903-9963.

Location: 16906 Se 1St St Ste 103, Vancouver, WA, 98682-3899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295855138
Provider Name
Douglas Lee Black
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
16906 Se 1St St Ste 103, Vancouver, WA, 98682-3899
Phone Number
360-903-9963
Fax Number
Provider Enumeration Date
03/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16906 Se 1St St Ste 103
City
Vancouver
State
Washington
Zip
98684-8512
Phone Number
360-903-9963
Fax Number
person
Provider Business Mailing Address Details
Address
16906 Se 1St St Ste 103
City
Vancouver
State
Washington
Zip
98684-8512
Phone Number
360-903-9963
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00011374 (Washington)
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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