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Individual

AILEA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7337 NE FREMONT ST, PORTLAND, OR 97213-5839
(503) 327-3819
(503) 286-7939
Mailing address
7337 NE FREMONT ST, PORTLAND, OR 97213-5839
(503) 327-3819
(503) 286-7939

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26672
OR

Other

Enumeration date
02/09/2022
Last updated
02/09/2022
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