Individual
MR. ANDREAS MICHAEL CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CCA
Contact information
Practice address
819 SE MORRISON ST, SUITE 120, PORTLAND, OR 97214-6307
(503) 445-7999
(503) 445-7997
Mailing address
819 SE MORRISON ST, SUITE 120, PORTLAND, OR 97214-6307
(503) 445-7999
(503) 445-7997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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