Individual
ANDREA O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SE 11TH CIR, TROUTDALE, OR 97060-3234
(503) 314-1004
Mailing address
620 SE 11TH CIR, TROUTDALE, OR 97060-3234
(503) 314-1004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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