Individual
LEVI ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
12267 SE STEELE ST, PORTLAND, OR 97236-4237
(503) 501-8719
Mailing address
12267 SE STEELE ST, PORTLAND, OR 97236-4237
(503) 501-8719
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22137
OR
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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