Individual
MEGAN B KIERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3990 COLLINS WAY STE 201, LAKE OSWEGO, OR 97035-3459
(503) 635-1236
Mailing address
19708 SUNCREST DR, WEST LINN, OR 97068-4808
(971) 645-3733
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22267
OR
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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