Individual
LOIS JEAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT OR#8031
Contact information
Practice address
2929 SW MULTNOMAH BLVD, 308, PORTLAND, OR 97219-4025
(503) 936-4171
Mailing address
2929 SW MULTNOMAH BLVD, 308, PORTLAND, OR 97219-4025
(503) 936-4171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8031
OR
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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