Individual
MRS. KIMBERLY ELAINE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1920 N KILLINGSWORTH ST, PORTLAND, OR 97217-4437
(971) 279-2757
Mailing address
4715 NE 110TH AVE, PORTLAND, OR 97220-2539
(503) 929-2234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12859
OR
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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