Individual
EMILY DAWN DUFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13152 SE RUSK RD, PORTLAND, OR 97222-2171
(503) 919-7001
Mailing address
9864 SE 38TH AVE, PORTLAND, OR 97222-5778
(530) 264-6738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27764
OR
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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