Individual
KASSANDRA OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
19945 SW BOONES FERRY RD, TUALATIN, OR 97062-7272
(415) 250-0161
Mailing address
6425 S CORBETT AVE APT 7, PORTLAND, OR 97239-3559
(415) 250-0161
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10021
OR
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/30/2018
Last updated
01/11/2022
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