Individual
KIMBERLY HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51669 COLUMBIA RIVER HWY STE 130, SCAPPOOSE, OR 97056-4508
(503) 987-1696
Mailing address
51669 COLUMBIA RIVER HWY STE 130, SCAPPOOSE, OR 97056-4508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14296
OR
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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