Individual
BRANDEE NICOLE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2410 SE 10TH AVE # 2, PORTLAND, OR 97214-4624
(971) 279-4454
Mailing address
5918 SE 89TH AVE, PORTLAND, OR 97266-4737
(503) 334-8517
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26447
OR
Other
Enumeration date
11/27/2021
Last updated
11/27/2021
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