Individual
ALEXANDRA TAYLOR MOSKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4230 NE FREMONT ST, PORTLAND, OR 97213-1150
(503) 208-5532
Mailing address
2131 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3852
(925) 640-1588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27480
OR
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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