Individual
AMY ROSE SHIFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6274 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(503) 516-0287
Mailing address
6274 SW CAPITOL HWY, PORTLAND, OR 97239-2674
(503) 516-0287
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14529
OR
Other
Enumeration date
11/01/2013
Last updated
10/22/2024
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