Individual
ADELINE ANDRIESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, RN
Contact information
Practice address
3543 NE BROADWAY ST, PORTLAND, OR 97232-1820
(971) 351-2270
Mailing address
3543 NE BROADWAY ST, PORTLAND, OR 97232-1820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201700676RN
OR
225700000X
Massage Therapist
Primary
26612
OR
Other
Enumeration date
03/24/2017
Last updated
11/29/2023
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