Alicia Banister
Alicia Banister is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.
- Licensed in
- OR
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
3930 SE Ivon StPortland, OR 97202-1651
Phone: (503) 893-2067
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence C6803 (OR) |
|---|---|
| Massage Therapist | Taxonomy 225700000X · Licence 21093 (OR) |
Record details
| NPI number | 1649668138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 6, 2015 |
| Last updated in NPPES | August 24, 2023 |
| Certification date | August 24, 2023 |
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