Individual
AMY VIOLET CHERIE EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3944 N MISSISSIPPI AVE, PORTLAND, OR 97227-1163
(503) 517-8222
Mailing address
3424 NE TILLAMOOK ST, PORTLAND, OR 97212-5155
(707) 326-3692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27139
OR
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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