Individual
MS. ALLISON JAYNE MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1235 SE DIVISION ST, SUITE 302, PORTLAND, OR 97202-1099
(503) 887-7759
Mailing address
5538 NE 15TH AVE, PORTLAND, OR 97211-4934
(503) 887-7759
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8036
OR
Other
Enumeration date
04/19/2007
Last updated
02/10/2016
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