Individual provider · Type 1 NPI

Laurel White Wolfe Surles, L.M.T.

Massage Therapist · Beaverton, OR

NPI number 1801103569 Active

Practice location

15435 SW Gleneden Dr
Beaverton, OR 97007-5968

Call (503) 894-4888 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17485 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1801103569

Laurel White Wolfe Surles, L.M.T.'s National Provider Identifier is 1801103569, issued on Sep 1, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Apr 7, 2021.