Individual
MICHELLA ONNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2410 SE 10TH AVE, PORTLAND, OR 97214-4624
(503) 680-4531
Mailing address
4029 NE KILLINGSWORTH ST, PORTLAND, OR 97211-7950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25751
OR
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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