Gabrielle Noel Brown-Wing, LMT
Massage Therapist in Gresham, OR. Individual provider (NPI-1).
NPI number1437633112
StatusActive
Last updated in NPPESSep 19, 2018
Details
- NPI
- 1437633112
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Noel Brown-Wing
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2018
- Last updated
- Sep 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 23896 | OR | Yes |
| 225700000X | Massage Therapist | 43966 | CA |
Practice location
405 Ne Division StGresham, OR 97030-3947
Phone 503-661-0791
Mailing address
110 Se Vista Ave Apt 1Gresham, OR 97080-8051
Phone 925-864-9834
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