Individual
CHELSEA RAE OLDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3007 NE 61ST AVE, PORTLAND, OR 97213-3927
(206) 290-7671
Mailing address
3007 NE 61ST AVE, PORTLAND, OR 97213-3927
(206) 290-7671
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25052
OR
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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