Individual
ISABELLA RAVEN COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 SE WASHINGTON ST STE 134, PORTLAND, OR 97214-2151
(503) 239-2639
Mailing address
2381 SE 51ST AVE, PORTLAND, OR 97215-3905
(360) 746-1736
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29128
OR
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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