Individual
MR. BRIAN JEFFREY WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14511 WESTLAKE DRIVE, SUITE # 100, LAKE OSWEGO, OR 97035
(503) 598-8099
Mailing address
14511 WESTLAKE DR STE 100, LAKE OSWEGO, OR 97035-7727
(503) 598-8099
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15520
OR
225700000X
Massage Therapist
MA 60117543
WA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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