Laura Rae Copley, lmt
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1013200799
StatusActive
Last updated in NPPESMay 27, 2011
Details
- NPI
- 1013200799
- Entity type
- Individual (NPI-1)
- Name
- Laura Rae Copley
- Credential
- lmt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2011
- Last updated
- May 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | ma60202682 | WA | Yes |
Practice location
8937 N Westanna Ave#26
Portland, OR 97203-2668
Phone 503-459-3448 · Fax 503-735-0471
Mailing address
8937 N Westanna Ave#26
Portland, OR 97203-2668
Phone 503-459-3448 · Fax 503-735-0471
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