Individual
LISA PACIORETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7831 SE STARK ST STE 200, PORTLAND, OR 97215-2357
(503) 260-2325
Mailing address
2201 SE 84TH AVE, PORTLAND, OR 97216-1447
(503) 260-2325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17376
OR
Other
Enumeration date
12/26/2011
Last updated
11/27/2023
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