Individual
LORETTA MARIE GRISAFFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5253 NE SANDY BLVD, PORTLAND, OR 97213
(503) 893-5131
Mailing address
14619 SW TEAL BLVD, BEAVERTON, OR 97007-6194
(503) 746-6585
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
07/13/2018
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