Individual
KEENAN RHYS MCCUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T., C.A.
Contact information
Practice address
3644 SW TROY ST, SUITE 200, PORTLAND, OR 97219-1684
(503) 293-3001
Mailing address
2409 NE MLK BLVD, APT 308, PORTLAND, OR 97212-3760
(505) 980-2333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16130
OR
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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