Individual
KERI A NEEDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
343 SE 3RD AVE, HILLSBORO, OR 97123-4001
(503) 789-9159
Mailing address
51600 SW DUNDEE RD, GASTON, OR 97119-9238
(503) 789-9159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10341
OR
Other
Enumeration date
01/14/2012
Last updated
01/09/2024
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