Individual
ALEXANDER MAGNIFIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5220 SW FRANKLIN AVE APT 1, BEAVERTON, OR 97005-2884
(720) 212-5636
Mailing address
5220 SW FRANKLIN AVE APT 1, BEAVERTON, OR 97005-2884
(720) 212-5636
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22786
OR
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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