Individual
LISE COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 SW CREEKSIDE PL STE 210, BEAVERTON, OR 97008-7128
(503) 610-8323
Mailing address
8505 SW CREEKSIDE PL STE 210, BEAVERTON, OR 97008-7128
(503) 610-8323
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29542
OR
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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