Individual
CHANTEL CAMILLE ROICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4050 NE BROADWAY ST, PORTLAND, OR 97232-1828
(307) 710-4929
Mailing address
3125 SW CAROLINA ST, PORTLAND, OR 97239-1038
(307) 710-4929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27706
OR
Other
Enumeration date
05/19/2023
Last updated
01/12/2025
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