Individual
KRISTOPHER BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2927 NE EVERETT ST, PORTLAND, OR 97232-3248
(541) 740-8369
Mailing address
4748 N VANDERBILT ST, PORTLAND, OR 97203-4638
(541) 740-8369
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22480
OR
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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