Individual
BRANNIGAN MARIE ROEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8414 SW BARBUR BLVD STE 206, PORTLAND, OR 97219-4018
(801) 554-1094
Mailing address
8414 SW BARBUR BLVD STE 206, PORTLAND, OR 97219-4018
(801) 554-1094
(971) 277-7689
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23721
OR
Other
Enumeration date
09/19/2018
Last updated
10/06/2023
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