Individual
JOHN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5118 SE POWELL BLVD, PORTLAND, OR 97206-3071
(503) 567-5586
Mailing address
5530 NE 7TH AVE APT 12, PORTLAND, OR 97211-3262
(503) 245-6129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26667
OR
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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