Individual
KARLOS SERMENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14619 SW TEAL BLVD, BEAVERTON, OR 97007-6194
(503) 746-6585
Mailing address
13787 SW FARMINGTON RD, 152, BEAVERTON, OR 97005-2670
(503) 922-9910
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19551
OR
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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