Individual
LISA MARIE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2149 NE BROADWAY ST, PORTLAND, OR 97232-1580
(503) 281-0278
Mailing address
5030 SE STEPHENS ST APT 405, PORTLAND, OR 97215-3288
(541) 520-8760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023450
OR
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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