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Pamela Diane Peterson, LMT
Massage Therapist in Gresham, Oregon
NPI 1609186709

Pamela Diane Peterson is a Massage Therapist based in Troutdale, OR. Pamela Diane Peterson practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Pamela Diane Peterson is 1609186709 and holds a License No. 16817 (Oregon).

The current practice location address for Pamela Diane Peterson is 1155 Ne Hogan Dr, Gresham, OR and can be reached out via phone at 503-706-8271.

Location: 1155 Ne Hogan Dr, Gresham, OR, 97060-1561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609186709
Provider Name
Pamela Diane Peterson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1155 Ne Hogan Dr, Gresham, OR, 97060-1561
Phone Number
503-706-8271
Fax Number
Provider Enumeration Date
10/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1155 Ne Hogan Dr
City
Gresham
State
Oregon
Zip
97030-4129
Phone Number
503-706-8271
Fax Number
person
Provider Business Mailing Address Details
Address
1155 Ne Hogan Dr
City
Gresham
State
Oregon
Zip
97030-4129
Phone Number
503-706-8271
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
16817 (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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