Individual
MRS. LISA ANN FRENCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1403 12TH AVE, SEASIDE, OR 97138-7138
(503) 717-1181
(503) 717-1181
Mailing address
PO BOX 863, 1403-12TH AVE, SEASIDE, OR 97138-0863
(503) 717-1181
(503) 717-1181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12850
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500754-99
TAX ID #
OR
Enumeration date
04/11/2008
Last updated
04/11/2008
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