Individual
JANAE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15280 NW CENTRAL DR STE 102, PORTLAND, OR 97229-7807
(503) 533-5614
Mailing address
15280 NW CENTRAL DR STE 102, PORTLAND, OR 97229-7807
(503) 533-5614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27628
OR
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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