Individual
CHRISTOPHER KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT#26010
Contact information
Practice address
4072 NE 10TH AVE, PORTLAND, OR 97212-1223
(971) 813-8821
Mailing address
4072 NE 10TH AVE, PORTLAND, OR 97212-1223
(971) 813-8821
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26010
OR
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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