Individual
AMY KATHLEEN LIWAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4927 NE 30TH AVE, PORTLAND, OR 97211-7007
(323) 420-7462
Mailing address
4220 NE SIMPSON CT, PORTLAND, OR 97218-1450
(323) 420-7462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29036
OR
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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