Individual
KATHRYN A. DENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2430 NE BROADWAY ST, PORTLAND, OR 97232-1634
(503) 421-7566
Mailing address
6417 NE GOING ST, PORTLAND, OR 97218-3137
(503) 421-7566
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17368
OR
Other
Enumeration date
07/30/2010
Last updated
06/24/2014
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