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Individual

MS. KATHRYN KEVYN MCCARTHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
3340 NE 64TH AVE, PORTLAND, OR 97213-4528
(503) 250-3899
Mailing address
3340 NE 64TH AVE, PORTLAND, OR 97213-4528
(503) 250-3899

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00002794
WA
171100000X
Acupuncturist
Primary
AC00957
OR
171100000X
Acupuncturist
AC11209
CA

Other

Enumeration date
02/13/2007
Last updated
07/08/2007
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