Individual
BRIANNA NOELLE GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11565 SW DURHAM RD, SUITE 110, TIGARD, OR 97224-3553
(503) 639-0778
Mailing address
11565 SW DURHAM RD, SUITE 110, TIGARD, OR 97224-3553
(503) 639-0778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023126
OR
Other
Enumeration date
04/04/2017
Last updated
02/21/2023
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