Individual
KELLY HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
(503) 358-6008
Mailing address
10500 NE FARGO ST # B, PORTLAND, OR 97220-2755
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29327
OR
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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