Individual
ARMANI ANTONELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1730 SE 44TH AVE, PORTLAND, OR 97215-3125
(951) 691-7800
Mailing address
1730 SE 44TH AVE, PORTLAND, OR 97215-3125
(951) 691-7800
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26596
OR
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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