Individual
MAQUEL FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3942 SE HAWTHORNE BLVD OFC 2, PORTLAND, OR 97214-5242
(623) 308-0521
(503) 234-8323
Mailing address
3942 SE HAWTHORNE BLVD OFC 2, PORTLAND, OR 97214-5242
(623) 308-0521
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26074
OR
Other
Enumeration date
12/11/2021
Last updated
12/06/2022
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