Individual
LAUREN G FERREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1540 SE CLINTON ST, PORTLAND, OR 97202-1130
(503) 914-2747
Mailing address
1540 SE CLINTON ST, PORTLAND, OR 97202-1130
(917) 757-5885
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18699
OR
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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