Individual
MRS. KATHRYN OLIVIA KLOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LMT
Contact information
Practice address
2303 E BURNSIDE ST, PORTLAND, OR 97214-1655
(503) 827-3644
Mailing address
3749 SE YAMHILL ST, PORTLAND, OR 97214-4352
(503) 250-0440
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13077
OR
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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