Individual
MRS. MOIRA TELETHA POPE-REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 NE CRAMER ST, PORTLAND, OR 97211-5467
(503) 380-9623
Mailing address
2004 NE CRAMER ST, PORTLAND, OR 97211-5467
(503) 380-9623
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17820
OR
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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