Individual
MS. KATRINA TERLIKOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2115 SE 12TH AVE, PORTLAND, OR 97214-5319
(503) 515-1740
Mailing address
2115 SE 12TH AVE, PORTLAND, OR 97214-5319
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13759
OR
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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