Individual
ELEANOR GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1905 NE GOING ST, PORTLAND, OR 97211-5853
(917) 291-8086
Mailing address
1905 NE GOING ST, PORTLAND, OR 97211-5853
(917) 291-8086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18671
OR
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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