Individual
CLAIRE VALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6726 SE BROOKLYN ST, 67, PORTLAND, OR 97206-1951
(503) 913-9224
Mailing address
6726 SE BROOKLYN ST, PORTLAND, OR 97206-1951
(503) 913-9224
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4915
OR
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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