Individual
KIRSTIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
4475 SW SCHOLLS FERRY ROAD, SUITE 201, PORTLAND, OR 97225
(503) 504-2569
(503) 719-5401
Mailing address
4475 SW SCHOLLS FERRY ROAD, SUITE 201, PORTLAND, OR 97225
(503) 504-2569
(503) 719-5401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10154
OR
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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