Individual
KATHERINE GILFOIL STAUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2627 NE BROADWAY ST, PORTLAND, OR 97232-1720
(503) 281-0278
Mailing address
1917 NE DEKUM ST, PORTLAND, OR 97211-5312
(503) 970-5318
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12418
OR
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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