Individual
MISS ALYSSA LUANNA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10500 SW GREENBURG RD, SUITE 200, TIGARD, OR 97223-1406
(503) 684-9698
(503) 213-9698
Mailing address
10500 SW GREENBURG RD, SUITE 200, TIGARD, OR 97223-1406
(503) 684-9698
(503) 213-9698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17961
OR
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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