Lyle Dettloff
Lyle Dettloff is a Massage Therapist in Portland, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
728 NE Dekum StPortland, OR 97211-3628
Phone: (503) 568-1906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1154985208 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 24, 2019 |
| Last updated in NPPES | April 24, 2019 |
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