Individual
DESIREE SWEARINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12923 NW CORNELL RD, SUITE 201, PORTLAND, OR 97229-5834
(503) 646-3393
(503) 672-7042
Mailing address
2016 SW MERLO CT APT 109, BEAVERTON, OR 97003-9226
(503) 443-5854
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15372
OR
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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