Individual
KEN BRINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2311 E BURNSIDE ST, PORTLAND, OR 97214-2576
(503) 314-9297
(971) 319-2195
Mailing address
2311 E BURNSIDE ST, PORTLAND, OR 97214-2576
(503) 314-9297
(971) 319-2195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
251565
OR
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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