Individual
BRENDA EDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6718 N CAMPBELL AVE, PORTLAND, OR 97217-4962
(503) 310-4417
Mailing address
1631 NE BROADWAY ST # 614, PORTLAND, OR 97232-1425
(503) 310-4417
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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