Individual
MS. LINDA MAE KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1920 NW JOHNSON ST, PORTLAND, OR 97209-1325
(503) 274-0644
Mailing address
2600 N RUSSET ST, PORTLAND, OR 97217-6244
(503) 285-7960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4136
OR
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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