Individual
MS. CHRISTINA MIRABAL ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2501 SE ANKENY ST, PORTLAND, OR 97214-1726
(503) 927-2597
Mailing address
2501 SE ANKENY ST, PORTLAND, OR 97214-1726
(503) 927-2597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17247
OR
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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