Most Relevant Information
Provider Data
| NPI Number: | 1003658337 |
| Provider Name: | JULIANNE RUTH MARA LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 22855 |
Most Important Dates
| Enumeration Date: | 06/07/2024 |
| Last Updated: | 06/07/2024 |
Provider Practice Location
3835 SW 185TH AVE STE 400
BEAVERTON
OR
970781553
Practice Location Phone/Fax
| Phone: | 5036262166 |
| Fax: |
Provider Mailing Location
3835 SW 185TH AVE STE 400
BEAVERTON
OR
970781553
Provider Mailing Phone/Fax
| Phone: | 5036262166 |
| Fax: |