Individual
ANIKA DE VORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1020 SW TAYLOR ST STE 804, PORTLAND, OR 97205-2500
(503) 479-8564
Mailing address
1020 SW TAYLOR ST STE 804, PORTLAND, OR 97205-2500
(503) 479-8564
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24444
OR
Other
Enumeration date
08/04/2018
Last updated
03/21/2023
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