DOUGLAS MEACHAM

GRESHAM, OR
NPI1780955138
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  12196)
Enumeration Date2012-01-17
Last Update Date2012-01-17
Business Address
-- DOUGLAS MEACHAM LMT
123 E POWELL BLVD # 304
GRESHAM, OR 97030-7624
Phone number: 503-319-7142
Mailing Address
-- DOUGLAS MEACHAM LMT
123 E POWELL BLVD # 304
GRESHAM, OR 97030-7624
Phone number: 503-319-7142