Individual
JOSEPH KAIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
833 SE MAIN ST, SUITE 108, PORTLAND, OR 97214-3454
(503) 575-8120
Mailing address
8826 SE 16TH PL, PORTLAND, OR 97202-1387
(503) 575-8120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17170
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17170
LMT #
OR
Enumeration date
09/28/2013
Last updated
05/10/2017
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