Individual
CALLIE ALBERTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16679 BOONES FERRY RD STE 105, LAKE OSWEGO, OR 97035-4378
(503) 635-6005
Mailing address
10021 NW 307TH AVE, NORTH PLAINS, OR 97133-7109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15847
OR
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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