Individual
DEBI CHRISTINE SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3241 NE BROADWAY ST, PORTLAND, OR 97232-1855
(503) 282-8582
(503) 460-0814
Mailing address
4833 SE 36TH PL, PORTLAND, OR 97202-4138
(503) 777-2576
(503) 460-0814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12943
OR
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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