Individual
KURT MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4829 NE MLK JR BLVD, PORTLAND, OR 97211-3491
(503) 283-8133
Mailing address
4829 NE MLK JR BLVD, PORTLAND, OR 97211-3491
(503) 283-8133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9444
OR
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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