Individual
KRISTINE MARIE ROSENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10175 SW BARBUR BLVD, SUITE 300BE, PORTLAND, OR 97219-5908
(503) 754-5375
Mailing address
10175 SW BARBUR BLVD, SUITE 300BE, PORTLAND, OR 97219
(503) 754-5375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12111
OR
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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