Whalio Doctors

NPI 1043345267

Angela Jean Davis, LMT

Practitioner Massage Therapist Tigard, OR

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 11689 (OR)

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.