Individual
DANIELLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2100 NE BROADWAY ST STE 225, PORTLAND, OR 97232-1544
(503) 719-5000
Mailing address
1324 SW DOLPH ST, PORTLAND, OR 97219-4337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26205
OR
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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