Individual
CHELSEA A BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1114
(503) 289-1390
Mailing address
3306 NE HOLMAN ST, PORTLAND, OR 97211-7202
(206) 380-4530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25127
OR
225700000X
Massage Therapist
LA7372
LA
225700000X
Massage Therapist
MA60728272
WA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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