Individual
ADRIAN FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 NW 5TH AVE STE 305, PORTLAND, OR 97209-3828
(503) 227-0206
Mailing address
4548 NE 41ST AVE, PORTLAND, OR 97211-8139
(541) 450-7691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27377
OR
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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