Individual
LOLA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8283 SW CIRRUS DR, BEAVERTON, OR 97008-5997
(503) 574-4872
Mailing address
10926 SW CELESTE LN APT 403, PORTLAND, OR 97225-7111
(503) 943-9477
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
23706
OR
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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