Desiree Fredenburg, LMT Valid NPI
Individual provider · Massage Therapist · Portland, OR
- NPI
- 1114231891
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 16509 (OR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-08-04
- Last updated
- 2010-08-04
Practice location
2627 Ne Broadway St
Portland, OR 97232-1720
(503) 281-0278