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Individual

KELLY DURAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2306 NE GLISAN ST, PORTLAND, OR 97232-2392
(503) 351-4344
Mailing address
123 NE 22ND AVE, PORTLAND, OR 97232-3103

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25582
OR

Other

Enumeration date
08/31/2020
Last updated
08/31/2020
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