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Joseph Liu, LMT

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

NPI number1164078002
StatusActive
Last updated in NPPESAug 15, 2019

Details

NPI
1164078002
Entity type
Individual (NPI-1)
Name
Joseph Liu
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 15, 2019
Last updated
Aug 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist24254ORYes

Practice location

1420 Nw 17th Ave Ste 288
Portland, OR 97209-2446

Phone 971-303-8936

Mailing address

1420 Nw 17th Ave Ste 288
Portland, OR 97209-2446

Phone 971-303-8936

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