Individual
ALAN ROBERT LILJENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1911 MOUNTAIN VIEW LN STE 400, FOREST GROVE, OR 97116-2248
(503) 707-5379
Mailing address
1502 PIONEER CIR, FOREST GROVE, OR 97116-3312
(503) 707-5379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14709
OR
Other
Enumeration date
02/03/2012
Last updated
03/24/2016
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