Individual
BRIAN MICHAEL O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4265 SW 109TH AVE, BEAVERTON, OR 97005-3028
(503) 526-8600
Mailing address
4545 SW ANGEL AVE APT 225, BEAVERTON, OR 97005-2764
(630) 479-9449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24194
OR
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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