Individual
LEAH ST GERMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 E BURNSIDE ST, PORTLAND, OR 97214-2576
(503) 314-9297
Mailing address
2311 E BURNSIDE ST, PORTLAND, OR 97214-2576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT.0016850
CO
225700000X
Massage Therapist
Primary
27101
OR
Other
Enumeration date
08/25/2015
Last updated
07/10/2023
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