Individual
ALISSA RENEE FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(971) 236-2963
Mailing address
909 NE BRAZEE ST APT 17, PORTLAND, OR 97212-4155
(503) 960-9064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023331
OR
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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