Individual
EMBER AUTUMN HIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CA
Contact information
Practice address
322 NW 5TH AVE STE 305, PORTLAND, OR 97209-3828
(503) 227-0206
Mailing address
824 NE STAFFORD ST, PORTLAND, OR 97211-3578
(425) 877-0498
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28688
OR
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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