Individual
MRS. EUGENIE LEE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 SE 75TH AVE, PORTLAND, OR 97206-1854
(503) 709-0253
(503) 788-7649
Mailing address
2706 SE 75TH AVE, PORTLAND, OR 97206-1854
(503) 709-0253
(503) 788-7649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18105
OR
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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