Individual
CLAIRE TEASDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
506 SW 6TH AVE, PORTLAND, OR 97204-1533
(503) 241-6505
Mailing address
506 SW 6TH AVE, PORTLAND, OR 97204-1533
(503) 241-6505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24113
OR
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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