Individual
MARY ROSE LICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2149 NE BROADWAY ST, PORTLAND, OR 97232-1580
(503) 281-0278
Mailing address
2714 SE 138TH AVE APT 55, PORTLAND, OR 97236-2879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25550
OR
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us