Individual
MAYA SEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 SE BYBEE BLVD, PORTLAND, OR 97202-5752
(971) 279-5638
Mailing address
1611 SE BYBEE BLVD, PORTLAND, OR 97202-5752
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28790
OR
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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