Individual
LOUISE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 SE MONROE ST STE B, MILWAUKIE, OR 97222-7646
(503) 303-4078
Mailing address
1205 SE MORRISON ST # 401, PORTLAND, OR 97214-2420
(612) 229-6816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24838
OR
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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