Individual
MIRIAM ULRIKA FERN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5828 N LOMBARD ST STE B, PORTLAND, OR 97203-4116
(503) 490-5647
Mailing address
1323 SE RHINE ST, PORTLAND, OR 97202-2842
(503) 708-8695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28129
OR
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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