Individual
MR. ADEYEMI B COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
23479 SE STARK ST STE 101, GRESHAM, OR 97030-2962
(503) 618-0147
(503) 618-0148
Mailing address
23479 SE STARK ST STE 101, GRESHAM, OR 97030-2962
(503) 618-0147
(503) 618-0148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26804
OR
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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