Individual
ALLISON DENISE KIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5441 SW MACADAM AVE, SUITE 200, PORTLAND, OR 97239-6106
(503) 841-6222
Mailing address
8833 N SYRACUSE ST, APT 5, PORTLAND, OR 97203-4857
(503) 703-1181
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
OR
225700000X
Massage Therapist
Primary
18656
OR
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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