Individual
KATRINA MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2526 NE 15TH AVE, PORTLAND, OR 97212-4222
(503) 288-7668
Mailing address
2526 NE 15TH AVE, PORTLAND, OR 97212-4222
(503) 288-7668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22210
OR
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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