Individual
LAUREN EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129
Mailing address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10933
OR
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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