Individual
KENDALL T JOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(541) 207-4804
Mailing address
110 SW NEVADA ST, PORTLAND, OR 97219-2242
(541) 207-4804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27174
OR
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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