Individual
AKIRA IMAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2927 SE 71ST AVE, PORTLAND, OR 97206-1801
(503) 233-2236
Mailing address
2927 SE 71ST AVE, PORTLAND, OR 97206-1801
(503) 233-2236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2523
OR
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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