Individual
MAEVE O'CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6510 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(503) 290-4757
Mailing address
16568 SE MAIN ST, PORTLAND, OR 97233-4045
(971) 940-4336
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22365
OR
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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