Individual
MS. MARISSA HANTHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
1330 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-4322
(503) 232-1100
Mailing address
9009 SE ADAMS ST UNIT 3344, CLACKAMAS, OR 97015-1180
(971) 222-6506
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC195483
OR
175F00000X
Naturopath
Primary
4341
OR
225700000X
Massage Therapist
22305
OR
Other
Enumeration date
08/02/2016
Last updated
08/06/2021
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