Individual
ALEXA RAE MENANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1750 BLANKENSHIP RD STE 295, WEST LINN, OR 97068-5104
(775) 771-6866
Mailing address
5129 SE 115TH AVE, PORTLAND, OR 97266-3345
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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