Individual
MS. KRISTIN MAYA STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MT-BC
Contact information
Practice address
328 SE 48TH AVE, PORTLAND, OR 97215-1106
(503) 236-6220
Mailing address
328 SE 48TH AVE, PORTLAND, OR 97215-1106
(503) 236-6220
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
01/03/2009
Last updated
05/12/2009
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