Individual
MR. IVAN ABARZUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10535 NE GLISAN ST, PORTLAND, OR 97220-4077
(503) 261-1120
Mailing address
4127 SE FLAVEL ST, PORTLAND, OR 97202-7909
(503) 675-1212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8168
OR
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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