Individual
ASHLEY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 SW 6TH AVE STE 801, PORTLAND, OR 97204-1521
(503) 241-6505
Mailing address
506 SW 6TH AVE STE 801, PORTLAND, OR 97204-1521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18104
OR
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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