Individual
LEAH GESLOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4230 NE FREMONT ST, PORTLAND, OR 97213-1150
(971) 400-6063
Mailing address
5030 SE STEPHENS ST, PORTLAND, OR 97215-3287
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26020
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
OR
Enumeration date
12/19/2020
Last updated
12/19/2020
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