Individual
LISA CHRISTINA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, DAFNS
Contact information
Practice address
10175 SW BARBUR BLVD, SUITE 212B, PORTLAND, OR 97219-5908
(503) 929-3394
Mailing address
10175 SW BARBUR BLVD, SUITE 212B, PORTLAND, OR 97219-5908
(503) 929-3394
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15070
OR
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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