Individual
BREANNA THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3910 NE TILLAMOOK ST, #316, PORTLAND, OR 97212-2383
(503) 853-6466
Mailing address
2403 SE MONROE ST, UNIT B, PORTLAND, OR 97222-7646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19387
OR
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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