Individual
ANDRIANNA LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1111 SE STEPHENS ST, PORTLAND, OR 97214-4748
(971) 544-7058
Mailing address
3828 SE 13TH AVE, PORTLAND, OR 97202-3815
(312) 550-4103
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28868
OR
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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