# MRS. KAITLIN ELIZABETH DEVINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780141390
- **Gender:** F
- **Credential:** LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 20599 | OR | Yes |

## Other

- **Enumeration date:** 03/01/2019
- **Last updated:** 03/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20599 | MASSAGE THERAPY | OR |