Sadie Anne Bormuth
Massage Therapist in Beaverton, OR. Individual provider (NPI-1).
NPI number1710734314
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1710734314
- Entity type
- Individual (NPI-1)
- Name
- Sadie Anne Bormuth
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2024
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 27729 | OR | Yes |
Practice location
12750 Sw 2nd StBeaverton, OR 97005-2778
Phone 971-228-1122
Mailing address
Po Box 3820Hillsboro, OR 97123-1949
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