Individual
LUIZ GUSTAVO D LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19605 RIVER RD UNIT 100, GLADSTONE, OR 97027-2261
(503) 791-4399
Mailing address
19605 RIVER RD UNIT 100, GLADSTONE, OR 97027-2261
(503) 791-4399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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