Individual
BRENT A LUEBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3724 N MASSACHUSETTS AVE UNIT B, PORTLAND, OR 97227-1030
(360) 713-1840
Mailing address
3724 N MASSACHUSETTS AVE UNIT B, PORTLAND, OR 97227-1030
(360) 713-1840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24762
OR
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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