Individual
ANGELIQUE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4265 SW 109TH AVE, BEAVERTON, OR 97005-3028
(503) 526-8600
(503) 643-1006
Mailing address
4265 SW 109TH AVE, BEAVERTON, OR 97005-3028
(503) 526-8600
(503) 643-1006
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22605
OR
Other
Enumeration date
06/14/2018
Last updated
07/21/2022
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