Individual
KATE ELIZABETH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1717 NE 42ND AVE STE 3200, PORTLAND, OR 97213-1572
(609) 828-1012
Mailing address
7327 SE HENRY ST APT 1, PORTLAND, OR 97206-6402
(609) 828-1012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20508
OR
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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