Individual
NEVA OSTERLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 NE 21ST AVE APT 8, PORTLAND, OR 97232-1556
(650) 759-4664
Mailing address
1332 NE 21ST AVE APT 8, PORTLAND, OR 97232-1556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22393
OR
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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