Individual
ALEXANDREA SMONE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 NE 69TH AVE, PORTLAND, OR 97213-5301
(971) 340-8445
Mailing address
1419 NE 69TH AVE, PORTLAND, OR 97213-5301
(971) 340-8445
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19421
OR
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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