Individual
KATELYN HITCHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 MONROE PKWY STE U, LAKE OSWEGO, OR 97035-8875
(503) 387-3205
Mailing address
29925 SW ROSE LN APT 52, WILSONVILLE, OR 97070-8709
(503) 956-8677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18338
OR
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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