Individual
HANNAH FAZENDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3821 NE MLK BLVD, PORTLAND, OR 97212-1114
(503) 289-1390
Mailing address
35 NE FREMONT ST, PORTLAND, OR 97212-2028
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28269
OR
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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