Individual
ANN TESORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1320 NORTHWEST 20TH AVENUE, PORTLAND, OR 97209
(503) 939-8205
Mailing address
1320 NW 20TH AVE, PORTLAND, OR 97209-1607
(503) 939-8205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24716
OR
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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