Individual
LAURA STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1804 NE 45TH AVE, PORTLAND, OR 97213-1416
(503) 902-5078
Mailing address
1804 NE 45TH AVE, PORTLAND, OR 97213-1416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19721
OR
Other
Enumeration date
11/09/2013
Last updated
02/07/2020
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