Individual
ALISSA CHRISTINE CISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3835 SW 185TH AVE, BEAVERTON, OR 97078-1502
(503) 626-2166
(503) 641-6665
Mailing address
1022 SE BACARRA ST, HILLSBORO, OR 97123-4694
(702) 374-3096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27184
OR
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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