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Individual

KRISTIN N BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1427 NW 23RD AVE STE 1, PORTLAND, OR 97210-2645
(503) 354-7824
Mailing address
5120 N INTERSTATE AVE APT 403, PORTLAND, OR 97217-3785
(503) 354-7824

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24448
OR

Other

Enumeration date
04/15/2021
Last updated
04/15/2021
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