Individual
MS. KATHRYN LYNNE CLIPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3737 N. MISSISSIPPI AVE, PORTLAND, OR 97227
(503) 467-4512
Mailing address
2333 NE KILLINGSWORTH ST, PORTLAND, OR 97211-5540
(503) 333-2425
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19685 (LMT)
OR
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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