Individual
KAYLA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2403 SE MONROE ST STE B, MILWAUKIE, OR 97222-7646
(541) 954-4963
Mailing address
0315 SW IDAHO ST, PORTLAND, OR 97239-3528
(541) 954-4963
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15828
OR
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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