Individual
MORIAH ROSE MITITIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 SW HIGHLAND AVE, REDMOND, OR 97756-3120
(541) 409-9055
Mailing address
2579 NW IVY WAY, REDMOND, OR 97756-9821
(541) 409-9055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023347
OR
Other
Enumeration date
08/24/2017
Last updated
10/27/2024
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