Individual
KRIS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4014 SE RAMONA ST, PORTLAND, OR 97202-7542
(503) 449-8496
Mailing address
4014 SE RAMONA ST, PORTLAND, OR 97202-7542
(503) 449-8496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8176
OR
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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