Individual
JOSHUA ABE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11155 NE HALSEY ST, PORTLAND, OR 97220-2024
(503) 894-9005
(503) 719-4178
Mailing address
11155 NE HALSEY ST, PORTLAND, OR 97220-2024
(503) 894-9005
(503) 719-4178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16217
OR
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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