Individual
KRISTA M KAHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5145 N INTERSTATE AVE, PORTLAND, OR 97217-3724
(408) 832-3319
Mailing address
988 NW ASH CREEK LN, PORTLAND, OR 97229-5283
(408) 832-3319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24486
OR
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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