Individual
BRIANNE MERIWETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
50 NW 2ND ST, GRESHAM, OR 97030-7222
(503) 516-6898
Mailing address
300 LINCOLN ST APT 1, FAIRVIEW, OR 97024-3797
(503) 516-6898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17040
OR
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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