Individual
KATHRYN MARIE MCCONKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21370 SW LANGER FARMS PKWY STE 138, SHERWOOD, OR 97140-9140
(503) 625-6247
Mailing address
PO BOX 764, CARLTON, OR 97111-0764
(503) 857-7935
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
023387
OR
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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