Individual
DESIREE RENEE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4309 OAKRIDGE RD, LAKE OSWEGO, OR 97035-3418
(503) 635-4656
(503) 635-4281
Mailing address
13442 NE SANDY BLVD APT Q2, PORTLAND, OR 97230-0624
(541) 821-3229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22348
OR
Other
Enumeration date
01/11/2018
Last updated
03/17/2018
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