Individual
ARIELLE ROSE ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
123 E POWELL BLVD STE 302, GRESHAM, OR 97030-7620
(503) 421-1887
Mailing address
1036 N SIMPSON ST, PORTLAND, OR 97217-2253
(503) 421-1887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17430
OR
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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