Individual
AMANDA ROSE TADDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2304 E BURNSIDE ST, PORTLAND, OR 97214-1677
(267) 235-0060
Mailing address
6234 NE ROSELAWN ST, PORTLAND, OR 97218-3027
(267) 235-0060
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26799
OR
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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