person
Collaine Brooke Faddis, LMT
Specialist in Portland, Oregon
NPI 1184810301

Collaine Brooke Faddis is a Specialist based in Portland, OR. Collaine Brooke Faddis practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Collaine Brooke Faddis is 1184810301 and holds a License No. 14317 (Oregon).

The current practice location address for Collaine Brooke Faddis is 4512 Se Woodstock Blvd, Portland, OR and can be reached out via phone at 503-777-2776.

Location: 4512 Se Woodstock Blvd, Portland, OR, 97206-2119
person
Provider Profile Details
NPI Number
1184810301
Provider Name
Collaine Brooke Faddis
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
4512 Se Woodstock Blvd, Portland, OR, 97206-2119
Phone Number
503-777-2776
Fax Number
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4512 Se Woodstock Blvd
City
State
Zip
97206-6274
Phone Number
503-777-2776
Fax Number
person
Provider Business Mailing Address Details
Address
4512 Se Woodstock Blvd
City
State
Zip
97206-6274
Phone Number
503-777-2776
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
14317 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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