Individual
MR. BRYN M STANBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
4615 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6275
(503) 771-1974
Mailing address
6218 SE HAROLD ST, PORTLAND, OR 97206-5433
(503) 449-8322
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6459
OR
Other
Enumeration date
04/05/2007
Last updated
09/13/2009
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