Individual
JOHN PAISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8824 SE 9TH AVE, PORTLAND, OR 97202-7008
(503) 380-1376
Mailing address
8824 SE 9TH AVE, PORTLAND, OR 97202-7008
(503) 380-1376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18905
OR
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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