Individual
MS. AMANDA MARIA GERACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
(503) 777-2116
Mailing address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
(503) 777-2116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11441
OR
Other
Enumeration date
08/31/2006
Last updated
07/21/2022
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