Individual
KRISTEENA ADELLE HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7815 N DENVER AVE, PORTLAND, OR 97217-6503
(503) 807-1478
Mailing address
7815 N DENVER AVE, PORTLAND, OR 97217-6503
(503) 807-1478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18194
OR
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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