Individual
CODY SIERRA MARIE BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4068 NE RODNEY AVE, PORTLAND, OR 97212-1048
(503) 467-1633
Mailing address
4068 NE RODNEY AVE, PORTLAND, OR 97212-1048
(503) 467-1633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26016
OR
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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