Individual
IQBAL KANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 SW ALDER ST, PORTLAND, OR 97205-3616
(503) 228-8266
Mailing address
630 SW ALDER ST, PORTLAND, OR 97205-3616
(503) 228-8266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4936
OR
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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