Individual
CHELSEA JEAN GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1220 SW MORRISON ST STE 900, PORTLAND, OR 97205-2228
(503) 213-3745
Mailing address
1220 SW MORRISON ST STE 900, PORTLAND, OR 97205-2228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22778
OR
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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