Individual
LIANA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2306 NE GLISAN ST # 203, PORTLAND, OR 97232-2392
(503) 278-5976
Mailing address
6904 SE MITCHELL ST, PORTLAND, OR 97206-4552
(510) 301-7377
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25879
OR
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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