Individual
ALICE PALMERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1235 SE DIVISION ST STE 206, PORTLAND, OR 97202-1089
(503) 515-7377
Mailing address
1235 SE DIVISION ST STE 206, PORTLAND, OR 97202-1089
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23983
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-4100934
IRS
OR
Enumeration date
04/25/2018
Last updated
04/25/2018
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