Individual
MICHAEL GUIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 NE SCHUYLER ST, PORTLAND, OR 97212
(631) 561-9468
Mailing address
625 SE 30TH AVE APT D, PORTLAND, OR 97214-3195
(631) 561-9468
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19016
OR
Other
Enumeration date
07/06/2018
Last updated
05/22/2023
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