Individual
CORTNI KALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
114 E HANCOCK ST, NEWBERG, OR 97132-2822
(503) 554-0661
(503) 554-9126
Mailing address
114 E HANCOCK ST, NEWBERG, OR 97132-2822
(503) 502-9957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23797
OR
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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