Individual
KATHERINE ROSE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 NE KILLINGSWORTH ST, PORTLAND, OR 97211-5538
(831) 400-8658
Mailing address
2209 NE KILLINGSWORTH ST, PORTLAND, OR 97211-5538
(831) 400-8658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27129
OR
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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