Individual
BRYCE LYLE COLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5336 SE BUSH ST, PORTLAND, OR 97206-5394
(971) 678-3790
Mailing address
11090 BEUTEL RD, OREGON CITY, OR 97045-9795
(971) 678-3790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21960
OR
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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