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Sandra Renee Fairchild, LMT
Massage Therapist in Gresham, Oregon
NPI 1962125294

Sandra Renee Fairchild is a Massage Therapist based in Eagle Creek, OR. Sandra Renee Fairchild practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Sandra Renee Fairchild is 1962125294 and holds a License No. 13764 (Oregon).

The current practice location address for Sandra Renee Fairchild is 24076 Se Stark St Ste 310, Gresham, OR and can be reached out via phone at 503-502-4570.

Location: 24076 Se Stark St Ste 310, Gresham, OR, 97022-8755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962125294
Provider Name
Sandra Renee Fairchild
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
24076 Se Stark St Ste 310, Gresham, OR, 97022-8755
Phone Number
503-502-4570
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24076 Se Stark St Ste 310
City
Gresham
State
Oregon
Zip
97030-3386
Phone Number
503-502-4570
Fax Number
person
Provider Business Mailing Address Details
Address
24076 Se Stark St Ste 310
City
Gresham
State
Oregon
Zip
97030-3386
Phone Number
503-502-4570
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
13764 (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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