Individual
LORI REISING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3531 NE 15TH AVE, SUITE A, PORTLAND, OR 97212-2377
(503) 287-0886
Mailing address
6516 SE HAROLD ST, PORTLAND, OR 97206-5439
(515) 320-4071
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7680
OR
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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