Individual
MS. KIM NORTHCOTT DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15800 BOONES FERRY RD, STE C203, LAKE OSWEGO, OR 97035-3470
(503) 697-2031
Mailing address
15800 BOONES FERRY RD, STE C203, LAKE OSWEGO, OR 97035-3470
(503) 697-2031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
OR3371
OR
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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