Individual
BERYL GREENSEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1675 SW MARLOW AVE STE 315, PORTLAND, OR 97225-5105
(503) 544-2463
Mailing address
5125 SW LOMBARD AVE, BEAVERTON, OR 97005-2918
(202) 770-8527
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
023217
OR
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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