Most Relevant Information
Provider Data
| NPI Number: | 1003287897 |
| Provider Name: | ROGER TWITCHELL |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 20149 |
Most Important Dates
| Enumeration Date: | 10/19/2015 |
| Last Updated: | 10/19/2015 |
Provider Practice Location
2512 SE 35TH PL
PORTLAND
OR
972021510
Practice Location Phone/Fax
| Phone: | 9713257055 |
| Fax: |
Provider Mailing Location
2512 SE 35TH PL
PORTLAND
OR
972021510
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |