Individual
ALEXIS MIRANDA BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4929 NE 30TH AVE, ZEN SPACE HEALING, PORTLAND, OR 97211
(503) 281-0681
Mailing address
3125 E BURNSIDE ST, PORTLAND, OR 97214-2073
(503) 758-9760
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC202639
OR
225700000X
Massage Therapist
17304
OR
Other
Enumeration date
04/18/2011
Last updated
02/08/2021
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