Individual
KYLE PLEASANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
718 SW ALDER ST, SUITE 218, PORTLAND, OR 97205-3422
(903) 245-0512
Mailing address
945 NW NAITO PKWY, APT 314, PORTLAND, OR 97209-4705
(903) 245-0512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20302
OR
Other
Enumeration date
02/13/2014
Last updated
10/15/2015
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