IndividualActive
Ailea Roberts
NPI 1114671989 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1114671989
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26672 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7337 Ne Fremont St
Portland, OR 97213-5839
Phone: (503) 327-3819
Fax: (503) 286-7939
Approximate (ZIP-level) locationGet directions
Mailing address
7337 Ne Fremont St
Portland, OR 97213-5839
Registry dates
- Enumerated
- 2022-02-09
- Last updated
- 2022-02-09
- Certified
- 2022-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.