Individual
ILA FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 NW QUIMBY ST, PORTLAND, OR 97210-2622
(503) 292-7668
Mailing address
11029 NE FLANDERS ST, PORTLAND, OR 97220-3230
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24748
OR
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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