Individual
OLIVIA R DUBOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5200 S MACADAM AVE STE 130, PORTLAND, OR 97239-3800
(503) 206-0300
Mailing address
5200 S MACADAM AVE STE 130, PORTLAND, OR 97239-3800
(503) 206-0300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29239
OR
Other
Enumeration date
09/11/2023
Last updated
01/02/2026
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