Individual
MRS. LILIANA APRIL BUCKALLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222-6001
(503) 659-0073
Mailing address
12550 SE 105TH AVE, CLACKAMAS, OR 97015-6728
(503) 698-6681
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11994
OR
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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