Individual
MOMOYE YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3543 NE BROADWAY ST, PORTLAND, OR 97232-1820
(415) 990-2132
Mailing address
1315 SE UMATILLA ST APT 201, PORTLAND, OR 97202-7175
(415) 990-2132
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28144
OR
Other
Enumeration date
09/30/2021
Last updated
05/02/2024
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