Individual
BREANNA KE MAKANA CABANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15 82ND DR STE 100, GLADSTONE, OR 97027-2550
(503) 980-8954
Mailing address
7152 N DELAWARE AVE, PORTLAND, OR 97217-5704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23843
OR
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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