person
Sophie Caroline Grace Pander, LMT;ESTHETICIAN
Massage Therapist in Portland, Oregon
NPI 1528527850

Sophie Caroline Grace Pander is a Massage Therapist based in Portland, OR. Sophie Caroline Grace Pander practices in Portland, OR and has the professional credentials of LMT;ESTHETICIAN. The NPI Number for Sophie Caroline Grace Pander is 1528527850 and holds a License No. 6457 (Oregon).

The current practice location address for Sophie Caroline Grace Pander is 210 Nw 17Th Ave, Portland, OR and can be reached out via phone at 971-407-3066.

Location: 210 Nw 17Th Ave, Portland, OR, 97209-2151
person
Provider Profile Details
NPI Number
1528527850
Provider Name
Sophie Caroline Grace Pander
Credential
LMT;ESTHETICIAN
Provider Entity Type
Individual
Gender
Female
Address
210 Nw 17Th Ave, Portland, OR, 97209-2151
Phone Number
971-407-3066
Fax Number
Provider Enumeration Date
03/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 Nw 17Th Ave
City
State
Zip
97209-2151
Phone Number
971-407-3066
Fax Number
person
Provider Business Mailing Address Details
Address
210 Nw 17Th Ave
City
State
Zip
97209-2151
Phone Number
971-407-3066
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
6457 (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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