Individual
MS. K YANCEY TOWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1212 SE POWELL BLVD, PORTLAND, OR 97202-2460
(503) 984-1056
Mailing address
2155 SE 30TH AVE, PORTLAND, OR 97214-5614
(503) 984-1056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17090
OR
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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