Individual
ALEXANDER ROSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1428 SE 19TH AVE STE A, PORTLAND, OR 97214-4516
(415) 420-5747
Mailing address
1428 SE 19TH AVE STE A, PORTLAND, OR 97214-4516
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26276
OR
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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