Individual
FELICIA ROYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3314 S KELLY AVE, PORTLAND, OR 97239-4628
(503) 740-5009
Mailing address
1693 SW 20TH CT, GRESHAM, OR 97080-9655
(503) 740-5009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487811840
RIVER WEST ACUPUNCTURE
—
Enumeration date
11/18/2020
Last updated
11/18/2020
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