Individual
MARISA FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
511 SW 10TH AVE STE 610, PORTLAND, OR 97205-2707
(503) 756-2743
Mailing address
27070 NW MEEK RD, HILLSBORO, OR 97124-8555
(916) 402-6142
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22744
OR
Other
Enumeration date
07/16/2017
Last updated
07/16/2017
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