Individual
MCKENZIE FREYDIS FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT# 27933
Contact information
Practice address
10151 SW BARBUR BLVD STE 200, PORTLAND, OR 97219-5951
(971) 280-9707
Mailing address
10151 SW BARBUR BLVD STE 200, PORTLAND, OR 97219-5951
(971) 280-9707
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27933
OR
Other
Enumeration date
11/10/2023
Last updated
11/11/2023
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