Individual
MRS. LILAH ZICATELA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1221 SE MADISON ST, PORTLAND, OR 97214-3890
(503) 445-7767
(503) 459-4221
Mailing address
1116 SE LINN ST, PORTLAND, OR 97202-7095
(503) 730-9308
(503) 459-4221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12011
OR
Other
Enumeration date
03/10/2010
Last updated
03/11/2010
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