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Desiree Fredenburg, LMT
NPI 1114231891 · on the registry since 2010
Practice
- Address
- 2627 Ne Broadway St
Portland, OR 97232 - Phone
- (503) 281-0278
- Organisation at this address
- Mudra Massage, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon