Barbra Archibeque, LMT
Massage Therapist in Gresham, OR. Individual provider (NPI-1).
NPI number1912353947
StatusActive
Last updated in NPPESMay 9, 2016
Details
- NPI
- 1912353947
- Entity type
- Individual (NPI-1)
- Name
- Barbra Archibeque
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2016
- Last updated
- May 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
1494 Nw 15th StGresham, OR 97030-3652
Phone 951-741-4948
Mailing address
1494 Nw 15th StGresham, OR 97030-3652
Phone 951-741-4948
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