Individual
BRIANNE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5035 NE ELAM YOUNG PKWY, SUITE 500, HILLSBORO, OR 97124-6425
(503) 693-1151
(503) 693-1153
Mailing address
5035 NE ELAM YOUNG PKWY, SUITE 500, HILLSBORO, OR 97124-6425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20203
OR
Other
Enumeration date
10/10/2014
Last updated
01/03/2017
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