Individual
OLIVER CRAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3225 SE SALMON ST, PORTLAND, OR 97214-4264
(503) 867-0691
Mailing address
3225 SE SALMON ST, PORTLAND, OR 97214-4264
(503) 867-0691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21474
OR
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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