Individual
ANNA BELLE VACHERESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 SW 16TH AVE, PORTLAND, OR 97205-1730
(503) 228-5000
Mailing address
1450 SW JEFFERSON ST APT 511, PORTLAND, OR 97201-2637
(503) 462-2827
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26202
OR
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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