Alexander Douglas Packham, LMT Valid NPI
Individual provider · Massage Therapist · Wilsonville, OR
- NPI
- 1821767146
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 20647 (OR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
Practice location
8695 Sw Jack Burns Blvd Ste E
Wilsonville, OR 97070-5797
(503) 427-4698