Individual
AIDAN TOMAS MCGUINNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Mailing address
2515 NE MASON ST, PORTLAND, OR 97211-6541
(415) 246-8362
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28042
OR
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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