Individual
MUIREALL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1215 SW 18TH AVE, PORTLAND, OR 97205-1711
(503) 447-6593
Mailing address
1215 SW 18TH AVE, PORTLAND, OR 97205-1711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24599
OR
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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