Individual
MS. KATHRYN DAWSON GREINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2514 SE 21ST AVE, PORTLAND, OR 97202-1122
(503) 515-9191
Mailing address
2514 SE 21ST AVE, PORTLAND, OR 97202-1122
(503) 515-9191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17213
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17213
OREGON STATE LICENSE NUMBER
OR
Enumeration date
10/11/2016
Last updated
10/11/2016
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