Individual
KARA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T,
Contact information
Practice address
651 ROXE DR, FOREST GROVE, OR 97116-1581
(503) 707-5334
Mailing address
651 ROXE DR, FOREST GROVE, OR 97116-1581
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16656
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16656
LICENSED MASSAGE THERAPIST
—
Enumeration date
10/06/2009
Last updated
10/06/2009
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