Individual
MARISSA C DORRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2927 NE EVERETT ST, PORTLAND, OR 97232-3248
(505) 232-6161
Mailing address
2927 NE EVERETT ST, PORTLAND, OR 97232-3248
(503) 232-6161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21742
OR
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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