Individual
MIKAYLA A GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(503) 281-0681
Mailing address
6706 NE RODNEY AVE, PORTLAND, OR 97211-2326
(503) 607-9715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26377
OR
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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