Individual
LUIZ ALEJANDRO NEVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5424 SE 82ND AVE, PORTLAND, OR 97266-4811
(503) 477-8720
Mailing address
5424 SE 82ND AVE, PORTLAND, OR 97266-4811
(503) 477-8720
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24922
OR
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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