Deanna Marie Wilson, LMTLICENSE13180
Deanna Marie Wilson, LMTLICENSE13180 is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2009
Practice location Address checks out
7817 SE Stark StPortland, OR 97215-2339
Phone: (503) 956-8984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 13180 (OR) |
|---|
Record details
| NPI number | 1275861858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMTLICENSE13180 |
| Sole proprietor | Yes |
| NPI enumerated | November 19, 2009 |
| Last updated in NPPES | November 19, 2009 |
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