Individual
MRS. DENICE K. DRUSHELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7740 SW 10TH AVE, PORTLAND, OR 97219-4506
(503) 293-1311
Mailing address
7740 SW 10TH AVE, PORTLAND, OR 97219-4506
(503) 293-1311
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1349
OR
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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