Individual
MEAGAN ANNE FREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2505 SE 11TH AVE STE 356, PORTLAND, OR 97202
(541) 921-0914
Mailing address
5421 SE 86TH AVE, PORTLAND, OR 97266-4701
(541) 921-0914
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14982
OR
Other
Enumeration date
10/23/2012
Last updated
06/04/2018
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