Individual
KRISTI CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7831 SE STARK ST, #207, PORTLAND, OR 97215-2357
(503) 453-6248
Mailing address
7831 SE STARK ST, #207, PORTLAND, OR 97215-2357
(503) 453-6248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17477
OR
Other
Enumeration date
02/07/2013
Last updated
04/11/2016
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