Individual
LEAH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
200 NE 20TH AVE STE 20, PORTLAND, OR 97232-3094
(971) 229-1384
Mailing address
1950 NE EVERETT ST APT 223, PORTLAND, OR 97232-3486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26359
OR
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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