Individual
KIA SATTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 NE BROADWAY ST STE 3E, PORTLAND, OR 97232-1425
(541) 514-4082
Mailing address
550 NE FARGO ST APT 9, PORTLAND, OR 97212-2145
(541) 514-4082
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19239
OR
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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