NPI 1043345267
Angela Jean Davis, LMT
Practice location
- Address
- 18039 SW Lower Boones Ferry Rd, Tigard, OR 97224-7228
- Phone
- (503) 481-4945
- Mailing address
- 9025 SW Oak St, Tigard, OR 97223-6547
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1043345267
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Feb 2007
- Record last updated
- 8 Jul 2007
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.