Individual
KELLY BEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1617 NE 17TH AVE, PORTLAND, OR 97232-3561
(503) 659-1212
Mailing address
1617 NE 17TH AVE, PORTLAND, OR 97232-3561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24855
OR
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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