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Individual
ROBERT PORTELLO
Active
Individual
ROBERT PORTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014112
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142460
LABOR & INDUSTRIES
WA
01
—
7727PO
REGENCE BLUESHIELD
WA
01
—
8938246
L&I CRIME VICTIMS PROGRAM
WA
Enumeration date
06/16/2006
Last updated
07/13/2026
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