Individual
LEAH KANACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3821 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97212-1114
(503) 954-1660
Mailing address
3821 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97212-1114
(503) 954-1660
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21836
OR
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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