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Individual

MS. EASTON MARIE MESSICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2161 NE BROADWAY, PORTLAND, OR 97232
(503) 331-1800
(503) 331-2989
Mailing address
2161 NE BROADWAY, PORTLAND, OR 97232
(503) 331-1800
(503) 331-2989

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13367
OR

Other

Enumeration date
03/07/2008
Last updated
03/07/2008
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