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Individual

MR. ALBERTO LIZARRAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4900 SW GRIFFITH DR, SUITE 110, BEAVERTON, OR 97005-5607
(503) 644-2225
Mailing address
4900 SW GRIFFITH DR, SUITE 110, BEAVERTON, OR 97005-5607
(503) 644-2225

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19204
OR

Other

Enumeration date
10/08/2014
Last updated
10/08/2014
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