Individual
MARCELLE OCCOMORE-VIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10700 SW BEAVERTON HILLSDALE HWY STE 675, BEAVERTON, OR 97005-3019
(503) 332-5907
(833) 621-1119
Mailing address
1435 SW WYNWOOD AVE, PORTLAND, OR 97225-4833
(503) 208-6037
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26665
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26665
STATE OF OREGON
OR
Enumeration date
09/30/2021
Last updated
11/02/2023
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