Individual
BRIO KELLY HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3651 SW CUSTER ST, PORTLAND, OR 97219-1654
(503) 801-1109
Mailing address
3651 SW CUSTER ST, PORTLAND, OR 97219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
21306
OR
225700000X
Massage Therapist
Primary
OBMT21306
OR
Other
Enumeration date
07/20/2015
Last updated
02/25/2019
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