Individual
KATHRINE COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17223 SE DIVISION ST, PORTLAND, OR 97236-1240
(352) 666-3001
(352) 666-4550
Mailing address
18 NE 74TH AVE, PORTLAND, OR 97213-5648
(352) 666-3001
(352) 666-4550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16369
OR
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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