Individual
MS. LISA ROCHELLE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
110 MONMOUTH AVE N LOWR LEVEL, MONMOUTH, OR 97361-1327
(503) 930-8764
(503) 838-2252
Mailing address
655 WARREN ST S, MONMOUTH, OR 97361-9500
(503) 930-8764
(503) 838-2252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12832
OR
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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