Individual
LISA DAWN CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 N SUMNER ST, PORTLAND, OR 97217-3742
(503) 709-0109
Mailing address
1334 N ALBERTA ST, PORTLAND, OR 97217-3704
(503) 709-0109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28810
OR
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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