NPI 1003214990

Bonnie Lee

Practitioner Reflexologist Albany, OR

Practice location

Address: 1249 Pacific Blvd SE, Albany, OR 97321-4824
Phone: (541) 704-0633
Mailing address: 431 Stormy St NE, Albany, OR 97322-4556

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 18719 (OR)

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Registry record

NPI: 1003214990
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2014
Record last updated: 9 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.