Individual
ALETHA EASTWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LPC-INTERN
Contact information
Practice address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 267-2565
Mailing address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(503) 267-2565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R6960
OR
225700000X
Massage Therapist
Primary
7963
OR
Other
Enumeration date
04/07/2007
Last updated
07/24/2021
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