Individual
KATIE LYNN LEAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T., C.Y.T.
Contact information
Practice address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
Mailing address
4302 NE 12TH AVE, PORTLAND, OR 97211-4610
(503) 935-1592
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21366
OR
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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