Individual
EPHRAIM FREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 SE 11TH AVE STE 226, PORTLAND, OR 97214-1357
(971) 279-4454
Mailing address
6603 N ALBINA AVE, PORTLAND, OR 97217-1823
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25042
OR
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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