Individual
KRISTINE K KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MLD/CDT
Contact information
Practice address
833 SE MAIN ST, #233, PORTLAND, OR 97214-3454
(503) 730-4754
Mailing address
7709 NE SKIDMORE ST, PORTLAND, OR 97218-3939
(503) 254-4797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10168
OR
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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