Most Relevant Information
Provider Data
| NPI Number: | 1003274739 |
| Provider Name: | DANIEL BROWN LMT#21298 |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 21298 |
Most Important Dates
| Enumeration Date: | 02/09/2016 |
| Last Updated: | 12/14/2016 |
Provider Practice Location
13305 NW CORNELL RD STE E
PORTLAND
OR
972295987
Practice Location Phone/Fax
| Phone: | 5037465085 |
| Fax: |
Provider Mailing Location
13305 NW CORNELL RD STE E
PORTLAND
OR
972295987
Provider Mailing Phone/Fax
| Phone: | 5037465085 |
| Fax: | 5039721185 |