Hazel Frost, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1497023402
StatusActive
Last updated in NPPESDec 5, 2011
Details
- NPI
- 1497023402
- Entity type
- Individual (NPI-1)
- Name
- Hazel Frost
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2011
- Last updated
- Dec 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 18612 | OR | Yes |
Practice location
2225 Ne Alberta StSuite 5
Portland, OR 97211-5886
Phone 503-422-3073
Mailing address
2822 Ne Rodney AvePortland, OR 97212-3024
Phone 503-422-3073
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