NPI 1538340013

Chrysanne Nicole Deshaw, LMT

Practitioner Contractor Woodburn, OR

Practice location

Address: 559 Glatt Cir, Woodburn, OR 97071-9675
Phone: (503) 981-4591

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 14329 (OR)

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Registry record

NPI: 1538340013
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2007
Record last updated: 26 Nov 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.