BONNIE L FOSSEK

PORTLAND, OR
NPI1144843624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  LMT-22202)
Enumeration Date2020-05-19
Last Update Date2020-05-19
Business Address
BONNIE L FOSSEK
9046 SE PINE ST
PORTLAND, OR 97216-1565
Phone number: 503-313-9425
Mailing Address
BONNIE L FOSSEK
9046 SE PINE ST
PORTLAND, OR 97216-1565
Phone number: 503-313-9425