Individual
KATHERINE ANN CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L,M.T.
Contact information
Practice address
5336 SE BUSH ST, BLUE ROOM, PORTLAND, OR 97206-5394
(503) 764-9092
Mailing address
3030 SE WAVERLEIGH BLVD APT 16, PORTLAND, OR 97202-1971
(503) 764-9092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17912
OR
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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