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Individual

MS. NEIFA DOLORES ALONSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
12741 NE HALSEY ST, PORTLAND, OR 97230-2343
(503) 255-0306
(503) 257-1452
Mailing address
PO BOX 82, NEWBERG, OR 97132-0082
(971) 200-9105

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24711
OR
225700000X
Massage Therapist
MA61137617
WA

Other

Enumeration date
03/17/2021
Last updated
02/02/2022
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