SearchOregon171100000X

Mae Costello, L.AC

NPI 1184828956 · on the registry since 2007 · sole proprietor

Practice

Address
2143 Ne Broadway St Ste 107c
Portland, OR 97232
Phone
(503) 309-3963
Organisation at this address
Fox Massage Llc
Harbor Health Clinic
Nutrition Studio Llc
Soaring Dragon Massage
Everybody Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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