Individual
KIRSTIN CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
417 E POWELL BLVD, GRESHAM, OR 97030-7609
(503) 660-8338
Mailing address
200 SHAW ST, FAIRVIEW, OR 97024-2682
(503) 660-8338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20907
OR
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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