Individual
ERIN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2605 SE 50TH AVE, PORTLAND, OR 97206-1535
(503) 319-7687
Mailing address
2605 SE 50TH AVE, PORTLAND, OR 97206-1535
(503) 319-7687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18011
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18011
MASSAGE LICENSE NUMBER
OR
Enumeration date
12/26/2012
Last updated
12/26/2012
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