Individual
MS. MALI JIRASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15280 NW CENTRAL DR STE 102, PORTLAND, OR 97229-7807
(503) 533-5614
Mailing address
16844 SW BANY RD APT A, BEAVERTON, OR 97007-4811
(406) 240-7084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28074
OR
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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