ADELA THEODORA BASAYNE

PORTLAND, OR
NPI1386891752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  2556)
Enumeration Date2008-08-27
Last Update Date2008-08-27
Business Address
-- ADELA THEODORA BASAYNE M.A., L.M.T.
116 N PAGE ST
PORTLAND, OR 97227-1909
Phone number: 503-975-8713
Mailing Address
-- ADELA THEODORA BASAYNE M.A., L.M.T.
4940 SW HEWETT BLVD
PORTLAND, OR 97221-2205
Phone number: 503-975-8713