Individual
LAURA REILEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
716 SE 26TH AVE, PORTLAND, OR 97214-3003
(503) 333-8105
Mailing address
716 SE 26TH AVE, PORTLAND, OR 97214-3003
(503) 333-8105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19322
OR
Other
Enumeration date
04/20/2014
Last updated
04/20/2014
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