Most Relevant Information
Provider Data
| NPI Number: | 1003358441 |
| Provider Name: | MICHELLE JEAN MEADOWS MA 60623545 |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA 60623545 |
Most Important Dates
| Enumeration Date: | 11/16/2016 |
| Last Updated: | 11/17/2016 |
Provider Practice Location
2804 SE LINCOLN ST
PORTLAND
OR
97214
Practice Location Phone/Fax
| Phone: | 5034491322 |
| Fax: |
Provider Mailing Location
3307 EVERGREEN WAY
WASHOUGAL
WA
98671
Provider Mailing Phone/Fax
| Phone: | 5034491322 |
| Fax: |