Individual
HEATHER RUTH KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CA
Contact information
Practice address
728 NE DEKUM ST, PORTLAND, OR 97211-3628
(971) 226-2357
Mailing address
728 NE DEKUM ST, PORTLAND, OR 97211-3628
(971) 226-2357
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13527
OR
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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