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NPI Profile for BRYON WILLSON in BEAVERTON, OR.
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist, Other |
246Z00000X |
| NPI # | 1285091009 |
|
| Status | Active | |
| Credentials | LMT (Licensed Massage Therapist) | |
| Entity | Individual | |
| Enumeration date | 01/25/2016 | |
| Last updated | 01/25/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRYON WILLSON
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BRYON WILLSON, LMT