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Individual

KRISTEN D DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4922 N VANCOUVER AVE, PORTLAND, OR 97217-2826
(503) 493-9398
(503) 493-9518
Mailing address
8500 SW CANYON RD, 5, PORTLAND, OR 97225
(417) 343-1422

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13440
OR

Other

Enumeration date
05/08/2008
Last updated
05/08/2008
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