Individual
DARA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7831 SE STARK ST, STE. 208, PORTLAND, OR 97215-2357
(740) 707-8381
Mailing address
8534 SE MILL ST, PORTLAND, OR 97216-1439
(740) 707-8381
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
18267
OR
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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