Individual
MRS. KAREN PEARL AGNES KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8230 SW BARBUR BLVD, PORTLAND, OR 97219-2843
(503) 702-8043
Mailing address
4154 CALAROGA CIR, WEST LINN, OR 97068-1005
(503) 702-8043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
18303
OR
374700000X
Technician
Primary
155744
OR
374700000X
Technician
L9790
CA
Other
Enumeration date
07/19/2012
Last updated
01/20/2023
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