Individual
DANIELLE LUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13305 NW CORNELL RD STE E, PORTLAND, OR 97229-5987
(503) 746-5085
(503) 972-1185
Mailing address
13305 NW CORNELL RD STE E, PORTLAND, OR 97229-5987
(503) 746-5085
(503) 972-1185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21904
OR
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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