Individual
MRS. SARAH MARIE KITTLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
316 NE 28TH AVE, PORTLAND, OR 97232-3150
(503) 230-0812
Mailing address
2308 SE 184TH AVE, PORTLAND, OR 97233-5622
(503) 618-8874
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
9014
OR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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