Individual
APRIL ANTOINETTE AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
7817 SE STARK ST, PORTLAND, OR 97215-2339
(503) 975-5298
(503) 546-7496
Mailing address
7817 SE STARK ST, PORTLAND, OR 97215-2339
(503) 975-5298
(503) 546-7496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22864
OR
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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