Individual
JUSTINE OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
4310 N. INTERSTATE AVE, PORTLAND, OR 97217
(503) 235-7130
(503) 235-7134
Mailing address
4310 N. INTERSTATE AVE, PORTLAND, OR 97217
(503) 235-7130
(503) 235-7134
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13058
OR
Other
Enumeration date
04/13/2015
Last updated
06/01/2018
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