Individual
MANLING NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14231 SE SALMON ST, PORTLAND, OR 97233-2253
(503) 875-3688
Mailing address
14231 SE SALMON ST, PORTLAND, OR 97233-2253
(503) 875-3688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24303
OR
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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