ANDREW ALLEN BLACK LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1063838720- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 14511 WESTLAKE DR STE 100, LAKE OSWEGO, OR, 970357727
- Phone
- (503) 598-8099
- Fax
- (503) 598-3980
Specialties & Taxonomies
Massage Therapist
Primary License: OR #19070