TRISTAN AVERY
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1982553400- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 16679 BOONES FERRY RD STE 105, LAKE OSWEGO, OR, 970354378
- Phone
- (503) 635-6005
Specialties & Taxonomies
Massage Therapist
Primary License: OR #28131