Individual
JULIANNE MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3220 NW 185TH AVE STE 100, PORTLAND, OR 97229-3492
(971) 217-7554
Mailing address
3220 NW 185TH AVE STE 100, PORTLAND, OR 97229-3492
(971) 217-7554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24263
OR
Other
Enumeration date
08/10/2019
Last updated
01/07/2022
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