Individual
KEARA HALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 NE 17TH AVE, PORTLAND, OR 97232-3561
(503) 659-1212
Mailing address
6205 NE 33RD AVE, PORTLAND, OR 97211-7311
(612) 741-9107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29363
OR
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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