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Individual

MS. LISA M. BROOKING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1020 SW TAYLOR ST, SUITE 645, PORTLAND, OR 97205-2543
(503) 407-8246
Mailing address
1020 SW TAYLOR ST, SUITE 645, PORTLAND, OR 97205-2543
(503) 407-8246

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12086
OR

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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