Individual
KARA ELAINE STELTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6101 SE 84TH AVE, PORTLAND, OR 97266-5434
(503) 515-4388
Mailing address
6101 SE 84TH AVE, PORTLAND, OR 97266-5434
(503) 515-4388
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11954
OR
Other
Enumeration date
11/14/2009
Last updated
11/14/2009
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