Individual
COURTNEY BACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 SE BYBEE BLVD, PORTLAND, OR 97202-5752
(971) 279-5738
Mailing address
1611 SE BYBEE BLVD, PORTLAND, OR 97202-5752
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26771
OR
Other
Enumeration date
03/21/2022
Last updated
03/27/2024
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