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Individual

ASHLEY MICHELLE FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4160 NE SANDY BLVD STE 1100, PORTLAND, OR 97212-5336
(503) 249-9000
Mailing address
700 SE CESAR E CHAVEZ BLVD APT 333, PORTLAND, OR 97214-3995
(510) 326-9190

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25259
OR

Other

Enumeration date
12/16/2021
Last updated
12/16/2021
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