Individual
LAUREN INSALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
506 SW 6TH AVE STE 801, PORTLAND, OR 97204-1521
(503) 241-6505
Mailing address
506 SW 6TH AVE STE 801, PORTLAND, OR 97204-1521
(503) 241-6505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-24924
OR
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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