Individual
MS. OLEANDER MIDNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 SE HAWTHORNE BLVD, PORTLAND, OR 97214
(503) 841-6460
(971) 350-3380
Mailing address
3990 COLLINS WAY, LAKE OSWEGO, OR 97035-3480
(503) 635-1236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16868
OR
Other
Enumeration date
01/02/2018
Last updated
10/04/2022
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