Individual
MARLEY AVRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3705 SW VERMONT ST, PORTLAND, OR 97219-1010
(503) 704-2273
Mailing address
3705 SW VERMONT ST, PORTLAND, OR 97219-1010
(503) 704-2273
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15345
OR
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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