Individual
MR. LIONEL MORA GUIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1359 NE 35TH AVE, PORTLAND, OR 97232-1941
(503) 389-5545
(888) 847-1238
Mailing address
1359 NE 35TH AVE, PORTLAND, OR 97232-1941
(503) 389-5545
(888) 847-1238
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22317
OR
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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