Individual
LISA RENEE HUNT-SENIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1415 N JESSUP ST, PORTLAND, OR 97217-4627
(574) 302-6336
Mailing address
1415 N JESSUP ST, PORTLAND, OR 97217-4627
(574) 302-6336
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17159
OR
Other
Enumeration date
06/25/2011
Last updated
06/25/2011
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