Individual
KARA DAWN JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-6772
(503) 659-3846
Mailing address
167 CANEMAH RD, OREGON CITY, OR 97045-3556
(801) 641-5114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13344
OR
225700000X
Massage Therapist
Primary
13344
OR
Other
Enumeration date
10/18/2012
Last updated
11/20/2014
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