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Individual

CHRISTOPHER LESHAWN ELLIOTT-PERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2100 NE BROADWAY ST STE 125, PORTLAND, OR 97232-1500
(503) 477-8222
(971) 373-8648
Mailing address
2100 NE BROADWAY ST STE 125, PORTLAND, OR 97232-1500
(503) 477-8222
(971) 373-8648

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27671
OR

Other

Enumeration date
08/13/2024
Last updated
08/13/2024
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