Individual
KALEB MICHEAL WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
17707 FRONT ST NE, HUBBARD, OR 97032-9702
(971) 227-0014
(267) 430-5571
Mailing address
17707 FRONT ST NE, HUBBARD, OR 97032-9702
(971) 227-0014
(267) 430-5571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22906
OR
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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