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Lucas Littlefield

Massage Therapist in Portland, OR. Individual provider (NPI-1).

NPI number1043857907
StatusActive
Last updated in NPPESDec 10, 2019

Details

NPI
1043857907
Entity type
Individual (NPI-1)
Name
Lucas Littlefield
Sex
Male
Sole proprietor
No
Enumeration date
Dec 10, 2019
Certification date
Dec 10, 2019
Last updated
Dec 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist24789ORYes

Practice location

2927 Ne Everett St
Portland, OR 97232-3248

Phone 503-232-6161

Mailing address

1832 Ne Broadway St
Portland, OR 97232-1992

Other practice locations

1832 Ne Broadway St
Portland, OR 97232-1992

Phone 503-820-1617

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