Individual
BRYAN WARREN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT#26532
Contact information
Practice address
2705 E BURNSIDE ST STE 213, PORTLAND, OR 97214-1768
(503) 234-4288
Mailing address
2705 E BURNSIDE ST STE 213, PORTLAND, OR 97214-1768
(503) 234-4288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26532
OR
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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