Individual
DEBORAH NICOLE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
316 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 310-1627
Mailing address
10050 SW 82ND AVE, PORTLAND, OR 97223-8878
(503) 998-5666
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
14739
OR
225700000X
Massage Therapist
Primary
14739
OR
Other
Enumeration date
10/07/2010
Last updated
06/12/2024
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