Individual
MONICA PSOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1616 SE BYBEE BLVD, SE MILWAUKIE BLVD, PORTLAND, OR 97202-5715
(503) 236-4654
Mailing address
1345 SE NEHALEM ST UNIT B, PORTLAND, OR 97202-6675
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19575
OR
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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