Individual
KELLY L MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4160 SE DIVISION ST, PORTLAND, OR 97202-1647
(503) 490-0192
Mailing address
4160 SE DIVISION ST, PORTLAND, OR 97202-1647
(503) 490-0192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10568
OR
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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