Individual
BRIE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14515 NE BROADWAY, PORTLAND, OR 97230-4128
(503) 593-7359
Mailing address
14515 NE BROADWAY, PORTLAND, OR 97230-4128
(503) 593-7359
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25580
OR
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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