Individual
ISABEL ANANDA BURBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2705 E BURNSIDE ST STE 213, PORTLAND, OR 97214-1768
(503) 234-4288
Mailing address
7222 E BURNSIDE ST APT 6, PORTLAND, OR 97215-1495
(503) 839-2900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15424
OR
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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