Individual
FENICKS RENASCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4475 SW SCHOLLS FERRY RD STE 201, PORTLAND, OR 97225-1978
(541) 525-8115
Mailing address
4475 SW SCHOLLS FERRY RD STE 201, PORTLAND, OR 97225-1978
(541) 525-8115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27088
OR
Other
Enumeration date
08/08/2022
Last updated
11/05/2024
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