Individual
LESLIE MICHELLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
735 SE MOUNT HOOD HWY, SUITE C, GRESHAM, OR 97080-9280
(503) 804-4621
(503) 665-3188
Mailing address
38954 PROCTOR BLVD # 397, SANDY, OR 97055-8039
(503) 804-4621
(503) 665-3188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10078
OR
Other
Enumeration date
02/26/2009
Last updated
03/20/2012
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