Collaine Brooke Faddis, LMT
NPI #1184810301 in Portland, Oregon
Provider Information
- NPI Number
- 1184810301
- Entity Type
- Individual
- Name
- Collaine Brooke Faddis, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMT
- Enumeration Date
- Sep 20, 2007
- Last Updated
- Sep 20, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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