Individual
MISS DEIRDRE J MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
Mailing address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16006
OR
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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