Individual
LISA RENE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1011 12TH ST, HOOD RIVER, OR 97031-1589
(503) 750-7545
Mailing address
1011 12TH ST, HOOD RIVER, OR 97031-1589
(503) 750-7545
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20664
OR
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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