Individual
DEZIARE PEBENITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5015 SE HAWTHORNE BLVD UNIT B, PORTLAND, OR 97215-3284
(440) 863-4339
Mailing address
5015 SE HAWTHORNE BLVD UNIT B, PORTLAND, OR 97215-3284
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28560
OR
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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